MEDICARE: YAGHJIAN CHIROPRACTIC A PROFESSIONAL CORPORATION

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	DC14289	CA

General Provider Information

NPI Number	:	1598823197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YAGHJIAN CHIROPRACTIC A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2595 E WASHINGTON BLVD STE 103
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-1409
Country	:	US
Telephone Number	:	626-798-8951
Fax Number	:	626-798-7458

Provider Business Practice Location Address
First Line	:	2595 E WASHINGTON BLVD STE 103
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-1409
Country	:	US
Telephone Number	:	626-798-8951
Fax Number	:	626-798-7458

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ARA V YAGHJIAN
Credential	:	D.C.
Telephone Number	:	626-798-8951

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	12/28/2018

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