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NPI Code Detail

MEDICARE: DR. GASSIA TITIZIAN D.C.

MEDICARE: DR. GASSIA TITIZIAN 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
1111N00000XChiropractor30877CA

General Provider Information

NPI Number : 1396991006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GASSIA TITIZIAN D.C.
Provider Business Mailing Address
First Line : 1620 VICTORY BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2915
Country : US
Telephone Number : 818-752-0366
Fax Number : 818-247-2722
Provider Business Practice Location Address
First Line : 1620 VICTORY BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-2915
Country : US
Telephone Number : 818-752-0366
Fax Number : 818-247-2722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 08/13/2008

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Directions to “ DR. GASSIA TITIZIAN D.C.” Practice Location

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