Babak Robert Shahrestani in Costa Mesa - Sports Physician

Babak Robert Shahrestani - NPI 1619018850

Babak Robert Shahrestani is a Sports Physician in Costa Mesa, California. Babak Robert Shahrestani practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Babak Robert Shahrestani is 1619018850. The last update date is 2016-12-20.

Babak Robert Shahrestani's current location address is 2328 Newport Blvd, Costa Mesa, California. You can contact this provider via phone number 9496313139 and fax number 9496310747. The mailing address for Babak Robert Shahrestani is 2328 Newport Blvd, Costa Mesa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Babak Robert Shahrestani
Address 2328 Newport Blvd, Costa Mesa, California
Phone Number 9496313139
Fax Number 9496310747
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1619018850
Provider Enumeration Date 2007-02-09
Last Updated Date 2016-12-20

Provider Mailing Address Detail

Address 2328 Newport Blvd
City Costa Mesa
State California (CA)
Post Code 926271548
Phone Number 9496313139
Fax Number 9496310747

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No DC19600
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33-0479857 CA OLD CORPORATE NUMBER
33-0793733 CA CORPORATE NUMBER

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FAQs about Babak Robert Shahrestani

What is the unique 10-digit identification code issued to Babak Robert Shahrestani by the Centers for Medicare & Medicaid Services?

The Babak Robert Shahrestani has been assigned the NPI (National Provider Identifier) 1619018850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Babak Robert Shahrestani is geographically located?

The Babak Robert Shahrestani is physically situated at the following location: 2328 Newport Blvd, Costa Mesa, CA, 926271548.

What is the Babak Robert Shahrestani's area of specialization and corresponding taxonomy classification?

The Babak Robert Shahrestani's specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.

When did Babak Robert Shahrestani receive its 1619018850 assignment?

The Babak Robert Shahrestani was assigned its 1619018850 on 2007-02-09, which is the date when this unique identifier was issued to the organization.

When was the information related to Babak Robert Shahrestani most recently updated or refreshed?

The details pertaining to the Babak Robert Shahrestani, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-12-20.

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