=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225421720
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DORIAN CHIROPRACTIC CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/09/2015
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2935 OSWELL ST
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93306-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-455-0100
-----------------------------------------------------
Fax | 661-249-6241
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2935 OSWELL ST
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93306-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-455-0100
-----------------------------------------------------
Fax | 661-249-6241
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SARO DORIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-486-2784
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------