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BODY REVIVE CHIROPRACTIC
NPI 1538889373
Chiropractor in Los Alamitos, CA

Active since August 31, 2022
4132 KATELLA AVE STE 102, LOS ALAMITOS, CA 90720(818) 912-8070(562) 795-6630 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 17, 2023, Dec 22, 2022, Aug 31, 2022 (3 updates tracked since 2022).

About Body Revive Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BODY REVIVE CHIROPRACTIC (NPI 1538889373) is a healthcare organization registered as a chiropractor in Los Alamitos, California and active in the NPI registry since August 2022. The organization lists Reza Shahba, Provider, as its authorized official.

NPPES Registry Identity

NPI1538889373
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHAHBA BODY REVIVE CHIROPRACTIC CORPORATION
Location Address4132 KATELLA AVE STE 102Los Alamitos, CA 90720-3491
Mailing Address4132 Katella Ave Ste 102Los Alamitos, CA 90720-3491 · (562) 596-9677 · Fax (562) 795-6630
Phone(818) 912-8070
Fax(562) 795-6630
Organization SubpartNo
Authorized OfficialReza ShahbaProvider · (818) 912-8070
Enumeration DateAugust 31, 2022
Last NPPES UpdateMarch 15, 20243 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1538889373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
4132 KATELLA AVE STE 102, Los Alamitos, CA 90720
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Other Names 3

Doing Business AsBody Revive Chiropractic
Doing Business AsAlamitos Back Pain Center
Doing Business AsAlamitos Back Pain Center/ Reza Shahba Dc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAKSIM KUBARKA
Massage Therapist
4132 KATELLA AVE STE 102
LOS ALAMITOS, CA 90720
Orange County (562) 446-7089
DR. RANDALL CRAIG STARK D.C.
Chiropractor
4132 KATELLA AVE STE 102
LOS ALAMITOS, CA 90720
Orange County (562) 493-4473
REZA SHAHBA DC
Chiropractor
4132 KATELLA AVE STE 102
LOS ALAMITOS, CA 90720
Orange County (562) 596-9677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahba Body Revive Chiropractic Corporation's NPI number?

The NPI number for Shahba Body Revive Chiropractic Corporation is 1538889373. It was assigned to this organization in the NPPES registry on August 31, 2022. The provider is doing business as Body Revive Chiropractic, Alamitos back pain center and Alamitos back pain center/ Reza Shahba DC.

Where is Shahba Body Revive Chiropractic Corporation located?

Shahba Body Revive Chiropractic Corporation is located at 4132 Katella Ave Ste 102, Los Alamitos, CA 90720. The listed phone number is (818) 912-8070.

What is Shahba Body Revive Chiropractic Corporation's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Shahba Body Revive Chiropractic Corporation was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.