Mitra Razipour Chiropractic Professional Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC29373 Issued in CA

Legal business name

MITRA RAZIPOUR CHIROPRACTIC PROFESSIONAL CORP

Practice address

20969 Ventura Blvd
Ste 23
Woodland Hills, CA 91364-2305

Phone

(818) 992-5252

Fax

(818) 992-5292

NPI assigned

Mar 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mitra Razipour, D.C.

Title

Ceo

Phone

(818) 992-5252

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992839385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD",
            "address_2": "STE 23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642305",
            "telephone_number": "818-992-5252",
            "fax_number": "818-992-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20969 VENTURA BLVD",
            "address_2": "STE 23",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642305",
            "telephone_number": "818-992-5252",
            "fax_number": "818-992-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA RAZIPOUR CHIROPRACTIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAZIPOUR",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-992-5252",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.