Healthcare Provider Details
I. General information
NPI: 1326404930
Provider Name (Legal Business Name): HAROUNIAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2016
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8704 SANTA MONICA BLVD 3RD FLOOR
WEST HOLLYWOOD CA
90069-4555
US
IV. Provider business mailing address
8704 SANTA MONICA BLVD 3RD FLOOR
WEST HOLLYWOOD CA
90069-4555
US
V. Phone/Fax
- Phone: 310-652-5522
- Fax:
- Phone: 310-652-5522
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251H1300X |
| Taxonomy | Human Factors Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
HAROUNIAN
Title or Position: PRESIDENT
Credential:
Phone: 310-652-5522