Provider Demographics
NPI:1154663169
Name:MANOUKIAN, HOURI ANNETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:HOURI
Middle Name:ANNETTE
Last Name:MANOUKIAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8444 RESEDA BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4626
Mailing Address - Country:US
Mailing Address - Phone:818-709-7999
Mailing Address - Fax:818-709-7997
Practice Address - Street 1:8444 RESEDA BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4626
Practice Address - Country:US
Practice Address - Phone:818-709-7999
Practice Address - Fax:818-709-7997
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor