Physician Compare National (NPI:1821127341)

HEALTHCARE PROVIDER: KAROLIN DERHARTONIAN-DERAVANESSIAN D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1821127341
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769572924
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071212000449
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DERHARTONIAN-DERAVANEDDIAN
	Individual professional last name
Provider First Name	KAROLIN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	200 W GLENOAKS BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	GLENDALE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	912023617
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y