MEDICARE: DR. GRAYR GREG MOVSESYAN D.C.

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	31748	CA

General Provider Information

NPI Number	:	1942516877
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRAYR GREG MOVSESYAN D.C.

Provider Business Mailing Address
First Line	:	7850 GOODLAND AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2044
Country	:	US
Telephone Number	:	818-216-7431
Fax Number	:

Provider Business Practice Location Address
First Line	:	7850 GOODLAND AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-2044
Country	:	US
Telephone Number	:	818-216-7431
Fax Number	:

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

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	06/02/2016

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