Shahrestani, Babak Robert
Shahrestani, Babak Robert is an individual health care provider with primary practice located at 2328 Newport Blvd , Costa Mesa CA 92627-1548. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Shahrestani, Babak Robert can be contacted via phone (949) 631-3139.Contact Information
Primary practice address
2328 Newport Blvd
Costa Mesa CA 92627-1548
Phone: (949) 631-3139
Fax: (949) 631-0747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 19600 | California |
| Chiropractic Providers / Sports Physician | 111NS0005X | DC19600 | California |
Profile Details
| NPI number | 1619018850 |
|---|---|
| LBN Legal business name | Shahrestani, Babak Robert |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Dec 20th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619018850 | NPPES |
| California | Other | 33-0479857 | OLD CORPORATE NUMBER |
| California | Other | 33-0793733 | OLD CORPORATE NUMBER |
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