MEDICARE: SHAKE DAVTYAN 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	DC21935	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952586125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAKE DAVTYAN DC

Provider Business Mailing Address
First Line	:	5250 SANTA MONICA BLVD
Second Line	:	SUITE #307
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1252
Country	:	US
Telephone Number	:	323-913-0339
Fax Number	:	323-913-0339

Provider Business Practice Location Address
First Line	:	5250 SANTA MONICA BLVD
Second Line	:	SUITE #307
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1252
Country	:	US
Telephone Number	:	323-913-0339
Fax Number	:	323-913-0339

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

Provider Enumeration Date	:	01/07/2008
Last Update Date	:	01/07/2008

Similar Medicare Providers

1417919507 — GARO ZAVEN PEHLEVANIAN M.D.
Practice Location Address:

5250 SANTA MONICA BLVD , SUITE 207
LOS ANGELES, CA
90029-1252

Practice Phone: 323-664-0857
Practice Fax: 323-664-9702

1306936174 — TARZANA DIAGNOSTIC INC.
Practice Location Address:

5250 SANTA MONICA BLVD , STE 211
LOS ANGELES, CA
90029-1252

Practice Phone: 323-668-2572
Practice Fax: 323-668-2573

1447300504 — ROBERT A GLAZER MD
Practice Location Address:

5250 SANTA MONICA BLVD , SUITE 208
LOS ANGELES, CA
90029-1252

Practice Phone: 323-913-9297
Practice Fax: 323-913-9255

1457575946 — MARIA FURUNJYAN DC
Practice Location Address:

5250 SANTA MONICA BLVD , #213
LOS ANGELES, CA
90029-1252

Practice Phone: 323-666-3221
Practice Fax: 323-666-3221

1508068586 — FIFTH AVE HOME HEALTH CARE, INC.
Practice Location Address:

5250 SANTA MONICA BLVD , SUITE 208 B
LOS ANGELES, CA
90029-1252

Practice Phone: 323-644-6807
Practice Fax: 323-644-6897

1477735603 — TER- ZAKARIAN MEDICAL CLINIC AND LABORATORY SERVICES INC
Practice Location Address:

5250 SANTA MONICA BLVD , 310
LOS ANGELES, CA
90029-1252

Practice Phone: 323-663-9831
Practice Fax: 323-668-0955

Directions to “ SHAKE DAVTYAN DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.