Provider Demographics
NPI:1528513249
Name:ESHGHI, RAMIN (DC)
Entity type:Individual
Prefix:DR
First Name:RAMIN
Middle Name:
Last Name:ESHGHI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32706 VIA PALACIO
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5897
Mailing Address - Country:US
Mailing Address - Phone:310-740-0468
Mailing Address - Fax:
Practice Address - Street 1:1534 W 25TH ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-4402
Practice Address - Country:US
Practice Address - Phone:310-548-5656
Practice Address - Fax:310-382-2085
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33636111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor