MEDICARE: DR. RAYMOND SAFARIAN CHIROPRACTOR

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	DC24775	CA

General Provider Information

NPI Number	:	1255514956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND SAFARIAN CHIROPRACTOR

Provider Business Mailing Address
First Line	:	6318 LAUREL CANYON BLVD
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3213
Country	:	US
Telephone Number	:	818-760-3873
Fax Number	:	818-760-9335

Provider Business Practice Location Address
First Line	:	6318 LAUREL CANYON BLVD
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-3213
Country	:	US
Telephone Number	:	818-760-3873
Fax Number	:	818-760-9335

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

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	12/17/2007

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