ELITE CHIROPRACTIC AND WELLNESS CENTER (NPI# 1679918437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679918437 |
| Entity Type | Organization |
| Organization Name | ELITE CHIROPRACTIC AND WELLNESS CENTER |
| Practice Address |
300 S Rexford Dr 401 Beverly Hills CA 90212-4667 |
| Practice Telephone | 3106662776 |
| Mailing Telephone | 3106662776 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | DR. JAMIE MAHTABAN (CHIROPRACTOR) |
| Authorized Official Telephone | 3106662776 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CD32573 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649440652 | Elite Chiropractic and Wellness Center | Chiropractor | 1 Bethany Road, Suite 29, Hazlet, NJ 07730 | 2008-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ELITE CHIROPRACTIC AND WELLNESS CENTER | 23440 Se Stark St, Gresham, OR 97030 |
| Street Address |
300 S REXFORD DR 401 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334829 | Anat Aronowicz | Chiropractor | 136 S Peck Dr Apt C, Beverly Hills, CA 90212-2461 | 2020-10-24 |
| 1023628229 | Jamor Townsend | Chiropractor | 9100 Wilshire Blvd Ste 850, Beverly Hills, CA 90212-3467 | 2020-08-04 |
| 1154978633 | Andalisia Healthcare Inc. | Chiropractor | 9135 W Olympic Blvd, Beverly Hills, CA 90212-3539 | 2019-08-20 |
| 1558848127 | Jessica Kim | Chiropractor | 415 N Camden Dr Ste 204, Beverly Hills, CA 90210-4438 | 2018-07-25 |
| 1457870560 | Branden Gutlay Yeo | Chiropractor | 239 S La Cienega Blvd Ste 201, Beverly Hills, CA 90211-3319 | 2017-09-11 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1659798296 | Andrew S Lopez | Chiropractor | 9478 W. Olympic Blvd, Penthouse, Beverly Hills, CA 90212 | 2014-03-20 |
| 1609131440 | Hari Bhajan S. Khalsa D.c. A Chiropractic Corporation | Chiropractor | 9250 Wilshire Blvd #303, Khalsa Health Care, Beverly Hills, CA 90212 | 2012-07-09 |
| 1073886651 | Alan Louis Lazar | Chiropractor | 9988 Durant Dr, Beverly Hills, CA 90212-1603 | 2012-02-13 |
| 1760780597 | Mahyar David Yadidi | Chiropractor | 9160 Beverly Blvd Apt 304, Beverly Hills, CA 90210-4001 | 2011-03-02 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on ELITE CHIROPRACTIC AND WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.