Healthcare Provider Details

I. General information

NPI: 1598346124
Provider Name (Legal Business Name): PRIME PERFORMANCE CHIROPRACTIC BY KARAMKHODIAN PATRICK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2021
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 N BRAND BLVD STE 202
GLENDALE CA
91203-2617
US

IV. Provider business mailing address

130 N BRAND BLVD STE 202
GLENDALE CA
91203-2617
US

V. Phone/Fax

Practice location:
  • Phone: 424-217-5658
  • Fax: 424-217-5653
Mailing address:
  • Phone: 424-217-5658
  • Fax: 424-217-5653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK KARAMKHODIAN
Title or Position: CEO
Credential: DC
Phone: 424-217-5658