Provider Demographics
NPI:1962600684
Name:HAGHANI, DANUSH (DC)
Entity type:Individual
Prefix:DR
First Name:DANUSH
Middle Name:
Last Name:HAGHANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:DAN
Other - Middle Name:
Other - Last Name:HAGHANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1209 W LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-3547
Mailing Address - Country:US
Mailing Address - Phone:714-772-6034
Mailing Address - Fax:714-772-6033
Practice Address - Street 1:1209 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-3547
Practice Address - Country:US
Practice Address - Phone:714-772-6034
Practice Address - Fax:714-772-6033
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27236111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor