Healthcare Provider Details

I. General information

NPI: 1861753675
Provider Name (Legal Business Name): ABGARYAN CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8607 IMPERIAL HWY SUITE 400
DOWNEY CA
90242-3947
US

IV. Provider business mailing address

9245 LAGUNA SPRINGS DR SUITE 200
ELK GROVE CA
95758-7987
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-7129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC31925
License Number StateCA

VIII. Authorized Official

Name: DR. CHRISTINE ABGARYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-923-0550