Provider Demographics
NPI:1871589325
Name:ACS, NAHID HAJI (DC)
Entity type:Individual
Prefix:DR
First Name:NAHID
Middle Name:HAJI
Last Name:ACS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 ANDRE ST
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-3402
Mailing Address - Country:US
Mailing Address - Phone:626-305-3133
Mailing Address - Fax:
Practice Address - Street 1:1801 S MYRTLE AVE
Practice Address - Street 2:SUITE B
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-4820
Practice Address - Country:US
Practice Address - Phone:626-599-9426
Practice Address - Fax:626-599-9426
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC26946Medicare ID - Type Unspecified