Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC 28162 | CA |
NPI | 1346321841 |
---|---|
Provider Name | Dr. Houman Safaei |
First Address | Tarzana, CA 91356-2600 |
Second Address | Tarzana, CA 91356-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 04/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U89215 | (02) | CA |