Provider Demographics
NPI:1053102079
Name:ROKNI, DAVOOD (DC)
Entity type:Individual
Prefix:
First Name:DAVOOD
Middle Name:
Last Name:ROKNI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20502 HAMLIN ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-4102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8349 RESEDA BLVD STE A
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5915
Practice Address - Country:US
Practice Address - Phone:818-701-9898
Practice Address - Fax:818-701-9898
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-08-12
Deactivation Date:2025-05-23
Deactivation Code:
Reactivation Date:2025-08-12
Provider Licenses
StateLicense IDTaxonomies
CA35262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor