=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972785426
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SUAREZ TOUTOUNDJIAN CHIROPRACTIC CORP.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/27/2007
-----------------------------------------------------
Last Update Date | 11/22/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2920 F ST E-15
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-1845
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-323-0711
-----------------------------------------------------
Fax | 661-323-0061
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2920 F ST E-15
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93301-1845
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-323-0711
-----------------------------------------------------
Fax | 661-323-0061
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARTNER/OWNER
-----------------------------------------------------
Name | DR. SERGE TOUTOUNDJIAN
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 661-323-0711
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------