MEDICARE: DR. KEVORK MERDKHANIAN 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
1	111N00000X	Chiropractor	36550	CA

General Provider Information

NPI Number	:	1669172565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVORK MERDKHANIAN DC

Provider Business Mailing Address
First Line	:	3607 W MAGNOLIA BLVD STE C
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2962
Country	:	US
Telephone Number	:	747-245-5421
Fax Number	:

Provider Business Practice Location Address
First Line	:	3607 W MAGNOLIA BLVD STE C
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2962
Country	:	US
Telephone Number	:	747-245-5421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2023
Last Update Date	:	03/08/2023

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