MEDICARE: DANIEL DEMERJIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	34173	CA

General Provider Information

NPI Number	:	1104500594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL DEMERJIAN

Provider Business Mailing Address
First Line	:	1236 E LOS ANGELES AVE STE C
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2893
Country	:	US
Telephone Number	:	626-423-3733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1236 E LOS ANGELES AVE STE C
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-2893
Country	:	US
Telephone Number	:	626-423-3733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2023
Last Update Date	:	06/14/2023

Similar Medicare Providers

1043062359 — IRON CHIROPRACTIC
Practice Location Address:

1236 E LOS ANGELES AVE STE C
SIMI VALLEY, CA
93065-2893

Practice Phone: 805-791-3177
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1215100649 — LAUREN BLUMENTHAL PT
Practice Location Address:

2005 W HAPPY VALLEY RD , SUITE 170
PHOENIX, AZ
85085-2893

Practice Phone: 623-322-0654
Practice Fax:

1649523903 — ZACHARY HALL PT
Practice Location Address:

2005 W HAPPY VALLEY RD , 1701
PHOENIX, AZ
85085-2893

Practice Phone: 480-222-0655
Practice Fax: 480-222-1457

1295139202 — IDEAL PHYSICAL THERAPY
Practice Location Address:

2005 W HAPPY VALLEY RD , 170
PHOENIX, AZ
85085-2893

Practice Phone: 623-780-3555
Practice Fax:

1912375494 — JARED S. ANDERSON PT, DPT
Practice Location Address:

2005 W HAPPY VALLEY RD , SUITE 170
PHOENIX, AZ
85085-2893

Practice Phone: 623-322-0654
Practice Fax: 623-322-0664

Directions to “ DANIEL DEMERJIAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.