Provider Demographics
NPI:1033282884
Name:MESRKHANI, RAZMIK (DC)
Entity Type:Individual
Prefix:
First Name:RAZMIK
Middle Name:
Last Name:MESRKHANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 E BROADWAY STE 302
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4943
Mailing Address - Country:US
Mailing Address - Phone:818-247-3118
Mailing Address - Fax:818-247-7679
Practice Address - Street 1:520 E BROADWAY STE 302
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4943
Practice Address - Country:US
Practice Address - Phone:818-247-3118
Practice Address - Fax:818-247-7679
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23910111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC23910AMedicare ID - Type Unspecified