Provider Demographics
NPI:1063747517
Name:ARABANI, NIMA (DC, MAOM, LAC)
Entity type:Individual
Prefix:DR
First Name:NIMA
Middle Name:
Last Name:ARABANI
Suffix:
Gender:M
Credentials:DC, MAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 S MELROSE DR # A160
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-5407
Mailing Address - Country:US
Mailing Address - Phone:760-822-8990
Mailing Address - Fax:
Practice Address - Street 1:1611 S MELROSE DR # A160
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-5407
Practice Address - Country:US
Practice Address - Phone:760-822-8990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3920111N00000X
CAAC 13095171100000X
CADC 31441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist