MEDICARE: LOS ANGELES CHIROPRACTIC

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		CA

General Provider Information

NPI Number	:	1851560197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ANGELES CHIROPRACTIC

Provider Business Mailing Address
First Line	:	5123 W SUNSET BLVD STE 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5779
Country	:	US
Telephone Number	:	323-661-9291
Fax Number	:	323-661-8646

Provider Business Practice Location Address
First Line	:	5123 W SUNSET BLVD STE 209
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5779
Country	:	US
Telephone Number	:	323-661-9291
Fax Number	:	323-661-8646

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. PETER GALAJIAN
Credential	:	D.C.
Telephone Number	:	323-661-9291

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	02/23/2008

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Directions to “LOS ANGELES CHIROPRACTIC ” Practice Location

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