Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC24584 | CA |
NPI | 1548342017 |
---|---|
Provider Name | Seyedamir Sherafat |
First Address | Riverside, CA 92507-0754 |
Second Address | Riverside, CA 92507-0754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 08/07/2007 |