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NPI Code Detail

MEDICARE: NORTH HOLLYWOOD CHIROPRACTIC CENTER

MEDICARE: NORTH HOLLYWOOD CHIROPRACTIC CENTER
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
1111N00000XChiropractor31748CA

General Provider Information

NPI Number : 1417307158
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH HOLLYWOOD CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 5953 LAUREL CANYON BLVD
Second Line : SUITE C
City : VALLEY VILLAGE
State : CA
Zip : 91607
Country : US
Telephone Number : 818-980-7500
Fax Number : 818-980-7501
Provider Business Practice Location Address
First Line : 7850 GOODLAND AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605
Country : US
Telephone Number : 818-216-7431
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GRAYR GREG MOVSESYAN
Credential : D.C.
Telephone Number : 818-980-7500
Provider Enumeration Date : 06/14/2016
Last Update Date : 06/14/2016

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Directions to “NORTH HOLLYWOOD CHIROPRACTIC CENTER ” Practice Location

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