Individual provider · Type 1 NPI
Keyhaneh Danaee Bouroumand, DC
Chiropractor · Fontana, CA
NPI number
1164786349
Active
Practice location
7762 Edison Ave
Fontana, CA 92336-3638
Fax (909) 743-4022
Mailing address
PO Box 9374
Alta Loma, CA 91701-8374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 22603 (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 1164786349
Keyhaneh Danaee Bouroumand, DC's National Provider Identifier is 1164786349, issued on Jul 2, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fontana, CA. The record was last updated on Jul 2, 2012.