Healthcare Provider Details
I. General information
NPI: 1932417458
Provider Name (Legal Business Name): ORTHOPEDIC ACUPUNCTURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2010
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3701 W BURBANK BLVD BURBANK
BURBANK CA
91505-2240
US
IV. Provider business mailing address
3701 W BURBANK BLVD BURBANK
BURBANK CA
91505-2240
US
V. Phone/Fax
- Phone: 818-846-6061
- Fax: 818-846-6061
- Phone: 818-846-6061
- Fax: 818-846-6061
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC9019 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
ARAM
NALBANDYAN
Title or Position: OWNER DOCTOR
Credential: L.AC. D.A.O.M.
Phone: 818-846-6061