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AZITA BANOONI CHIROPRACTIC INC NPI 1841468154


NPI Information

NPI: 1841468154
Provider Name: AZITA BANOONI CHIROPRACTIC INC

Doing Business As: DYNAMIC HEALING CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5455 WILSHIRE BLVD
#806
LOS ANGELES, CA
ZIP 90036
Phone: (323) 549-0822
Get Directions

AZITA BANOONI CHIROPRACTIC INC is a chiropractor in Los Angeles, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. AZITA BANOONI CHIROPRACTIC INC NPI is 1841468154. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dynamic Healing Center.

The provider's business location address is:

5455 WILSHIRE BLVD
#806
LOS ANGELES, CA
ZIP 90036
Phone: (323) 549-0822
Fax: (323) 549-0826

The provider's authorized official is Azita Banooni .
The authorized official title is President and has the following contact phone number (323) 549-0822.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 2/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor22280CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1O55507MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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