Provider Demographics
NPI:1144407073
Name:BERJIS, FARSHAD C (DC)
Entity Type:Individual
Prefix:DR
First Name:FARSHAD
Middle Name:C
Last Name:BERJIS
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 1:6318 LAUREL CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3213
Mailing Address - Country:US
Mailing Address - Phone:818-760-6776
Mailing Address - Fax:818-760-9335
Practice Address - Street 1:6318 LAUREL CANYON BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3213
Practice Address - Country:US
Practice Address - Phone:818-760-6776
Practice Address - Fax:818-760-9335
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24699111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor