Provider Demographics
NPI:1699132498
Name:RASHIDI, TANAZ (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:TANAZ
Middle Name:
Last Name:RASHIDI
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12536 WOODBINE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-1831
Mailing Address - Country:US
Mailing Address - Phone:310-721-5877
Mailing Address - Fax:
Practice Address - Street 1:12536 WOODBINE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-1831
Practice Address - Country:US
Practice Address - Phone:310-721-5877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-25
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33446111N00000X
CA17802171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No111N00000XChiropractic ProvidersChiropractor