Provider Demographics
NPI:1275707341
Name:JEGHELIAN, KARINE (DC)
Entity Type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:JEGHELIAN
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 1:815 E COLORADO ST
Mailing Address - Street 2:#110A
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1200
Mailing Address - Country:US
Mailing Address - Phone:818-242-1910
Mailing Address - Fax:818-242-1990
Practice Address - Street 1:815 E COLORADO ST
Practice Address - Street 2:#110A
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1200
Practice Address - Country:US
Practice Address - Phone:818-242-1910
Practice Address - Fax:818-242-1990
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30129111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor