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NPI Code Detail

MEDICARE: DR. ANNA GASPARIAN D.C.

MEDICARE: DR. ANNA GASPARIAN D.C.
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
1111N00000XChiropractorDC31640CA

General Provider Information

NPI Number : 1326330390
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA GASPARIAN D.C.
Provider Business Mailing Address
First Line : 11682 ATLANTIC AVE
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-3832
Country : US
Telephone Number : 310-573-7600
Fax Number :
Provider Business Practice Location Address
First Line : 11682 ATLANTIC AVE
Second Line :
City : LYNWOOD
State : CA
Zip : 90262-3832
Country : US
Telephone Number : 310-573-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2011
Last Update Date : 05/10/2011

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