MEDICARE: DR. GEVORK RICHARD ORUDZHYAN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	36623	CA

General Provider Information

NPI Number	:	1194698563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEVORK RICHARD ORUDZHYAN DC

Provider Business Mailing Address
First Line	:	1260 E COLORADO BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1901
Country	:	US
Telephone Number	:	818-404-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 E COLORADO BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91106-1901
Country	:	US
Telephone Number	:	818-404-1994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2025
Last Update Date	:	09/24/2025

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