Individual provider · Type 1 NPI
Rasoul Pooyandeh, DC
Chiropractor · Pomona, CA
NPI number
1013135656
Active
Practice location
502 W. Holt Ave.
Pomona, CA 91768
Fax (909) 620-5799
Mailing address
502 W Holt Ave
Pomona, CA 91768-3604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 27512 (CA) |
Chiropractor: 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.
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About NPI 1013135656
Rasoul Pooyandeh, DC's National Provider Identifier is 1013135656, issued on Apr 20, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Pomona, CA. The record was last updated on Jul 9, 2007.