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NPI Code Detail

MEDICARE: MARIA FURUNJYAN DC

MEDICARE:   MARIA  FURUNJYAN  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
1111N00000XChiropractorDC21691CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11566528OTHERCAPIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457575946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA FURUNJYAN DC
Provider Business Mailing Address
First Line : 5250 SANTA MONICA BLVD
Second Line : #213
City : LOS ANGELES
State : CA
Zip : 90029-1252
Country : US
Telephone Number : 323-666-3221
Fax Number : 323-666-3221
Provider Business Practice Location Address
First Line : 5250 SANTA MONICA BLVD
Second Line : #213
City : LOS ANGELES
State : CA
Zip : 90029-1252
Country : US
Telephone Number : 323-666-3221
Fax Number : 323-666-3221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ MARIA FURUNJYAN DC” Practice Location

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