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NPI Code Detail

MEDICARE: HERATCH GHARIBIAN D.C.

MEDICARE:   HERATCH  GHARIBIAN  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
1111N00000XChiropractorDC30442CA

General Provider Information

NPI Number : 1649422320
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERATCH GHARIBIAN D.C.
Provider Business Mailing Address
First Line : 3436 N VERDUGO RD STE 250
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1546
Country : US
Telephone Number : 818-497-6004
Fax Number : 949-551-1281
Provider Business Practice Location Address
First Line : 3436 N VERDUGO RD STE 250
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1546
Country : US
Telephone Number : 818-497-6004
Fax Number : 949-551-1281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 10/14/2008

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Directions to “ HERATCH GHARIBIAN D.C.” Practice Location

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