Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 34701 | CA |
NPI | 1003454588 |
---|---|
Provider Name | Dr. Mohammad Reza Zarghami |
First Address | Palo Alto, CA 94306-1911 |
Second Address | Palo Alto, CA 94306-1911 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2019 |
Last Update Date | 28/08/2020 |