Healthcare Provider Details

I. General information

NPI: 1518241108
Provider Name (Legal Business Name): ATAMIAN CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2011
Last Update Date: 10/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 VAN NUYS BLVD SUITE 300
PANORAMA CITY CA
91402-4810
US

IV. Provider business mailing address

210 N CENTRAL AVE 100
GLENDALE CA
91203-3519
US

V. Phone/Fax

Practice location:
  • Phone: 818-571-5538
  • Fax:
Mailing address:
  • Phone: 818-571-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC18313
License Number StateCA

VIII. Authorized Official

Name: DR. CHRIS ATAMIAN
Title or Position: PRESIDENT/CHIROPRACTOR
Credential: D.C.
Phone: 818-571-5538