MEDICARE: EILEEN ABRAHAMIAN 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
1	111N00000X	Chiropractor	33506	CA

General Provider Information

NPI Number	:	1922469451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EILEEN ABRAHAMIAN D.C.

Provider Business Mailing Address
First Line	:	837 N GLENDALE AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-2128
Country	:	US
Telephone Number	:	818-839-0907
Fax Number	:

Provider Business Practice Location Address
First Line	:	837 N GLENDALE AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-2128
Country	:	US
Telephone Number	:	818-839-0907
Fax Number	:

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

Provider Enumeration Date	:	03/10/2016
Last Update Date	:	03/10/2016

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