Provider Demographics
NPI:1326212903
Name:SEDGHI NEJAD CHIROPRACTIC INC.
Entity type:Organization
Organization Name:SEDGHI NEJAD CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDOLLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDGHINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-475-1858
Mailing Address - Street 1:1780 WHIPPLE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-1954
Mailing Address - Country:US
Mailing Address - Phone:510-475-1858
Mailing Address - Fax:510-475-1885
Practice Address - Street 1:1780 WHIPPLE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-1954
Practice Address - Country:US
Practice Address - Phone:510-475-1858
Practice Address - Fax:510-475-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29099111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty