MEDICARE: CHLDRYAN CHIROPRACTIC INC.

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

General Provider Information

NPI Number	:	1679430524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHLDRYAN CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	11846 VENTURA BLVD STE 302
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2620
Country	:	US
Telephone Number	:	818-255-6526
Fax Number	:	818-855-7116

Provider Business Practice Location Address
First Line	:	11846 VENTURA BLVD STE 302
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2620
Country	:	US
Telephone Number	:	818-255-6526
Fax Number	:	818-855-7116

Authorized Official
Title or Position	:	OWNER
Name	:	RUBEN CHLDRYAN
Credential	:	DC
Telephone Number	:	818-255-6526

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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