Healthcare Provider Details

I. General information

NPI: 1114857570
Provider Name (Legal Business Name): PALIG BEKARIAN PT
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: PALIG KODJANIAN

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14101 VALLEYHEART DR STE 100
SHERMAN OAKS CA
91423-2885
US

IV. Provider business mailing address

14101 VALLEYHEART DR STE 100
SHERMAN OAKS CA
91423-2885
US

V. Phone/Fax

Practice location:
  • Phone: 424-252-2221
  • Fax:
Mailing address:
  • Phone: 424-252-2221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number307148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: