Healthcare Provider Details

I. General information

NPI: 1730650367
Provider Name (Legal Business Name): ARMEN HAROUTIOUNIAN DC A PROFESSIONAL CHIROPRACTIC CORPORAT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2018
Last Update Date: 12/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E MAGNOLIA BLVD STE 102
BURBANK CA
91502-1198
US

IV. Provider business mailing address

333 E MAGNOLIA BLVD STE 102
BURBANK CA
91502-1198
US

V. Phone/Fax

Practice location:
  • Phone: 818-729-0300
  • Fax:
Mailing address:
  • Phone: 818-729-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARMEN HAROUTIOUNIAN
Title or Position: OWNER
Credential:
Phone: 818-366-4514