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Dr. Patrick Javidan, DC
Chiropractor in San Diego, California
NPI 1629084678

Patrick Javidan is a Chiropractor based in San Diego, CA. Patrick Javidan practices in San Diego, CA and has the professional credentials of DC. The NPI Number for Patrick Javidan is 1629084678 and holds a License No. DC27094 (California).

The current practice location address for Patrick Javidan is 9524 Kearny Villa Rd, San Diego, CA and can be reached out via phone at 858-693-3196 and via fax at 858-695-9201.

Location: 9524 Kearny Villa Rd, San Diego, CA, 92126-4582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629084678
Provider Name
Patrick Javidan
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
9524 Kearny Villa Rd, San Diego, CA, 92126-4582
Phone Number
858-693-3196
Fax Number
858-695-9201
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0270940 01 CA BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
9524 Kearny Villa Rd
City
San Diego
State
California
Zip
92126-4582
Phone Number
858-693-3196
Fax Number
858-695-9201
person
Provider Business Mailing Address Details
Address
9524 Kearny Villa Rd
City
San Diego
State
California
Zip
92126-4582
Phone Number
858-693-3196
Fax Number
858-695-9201
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC27094 (California)
Definition
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.
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