Healthcare Provider Details

I. General information

NPI: 1720399827
Provider Name (Legal Business Name): TEPELEKIAN CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 04/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18531 ROSCOE BLVD 215
NORTHRIDGE CA
91324-4641
US

IV. Provider business mailing address

18531 ROSCOE BLVD 215
NORTHRIDGE CA
91324-4641
US

V. Phone/Fax

Practice location:
  • Phone: 818-700-0478
  • Fax:
Mailing address:
  • Phone: 818-700-0478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number27178
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARA TEPELEKIAN
Title or Position: OWNER
Credential: DC
Phone: 818-700-0478