Healthcare Provider Details

I. General information

NPI: 1467276907
Provider Name (Legal Business Name): HOUSHANIAN CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 CANOGA AVE STE 333
WOODLAND HILLS CA
91367-2492
US

IV. Provider business mailing address

6400 CANOGA AVE STE 333
WOODLAND HILLS CA
91367-2492
US

V. Phone/Fax

Practice location:
  • Phone: 818-703-8480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN HOUSHANIAN
Title or Position: OWNER
Credential: DC
Phone: 818-703-8480