Provider Demographics
NPI:1336636935
Name:KARAMKHODIAN, PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:
Last Name:KARAMKHODIAN
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 1:1201 S VICTORY BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2552
Mailing Address - Country:US
Mailing Address - Phone:424-217-5658
Mailing Address - Fax:424-217-5653
Practice Address - Street 1:1201 S VICTORY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2552
Practice Address - Country:US
Practice Address - Phone:424-217-5658
Practice Address - Fax:424-217-5653
Is Sole Proprietor?:No
Enumeration Date:2018-04-18
Last Update Date:2021-04-15
Deactivation Date:2018-07-25
Deactivation Code:
Reactivation Date:2019-12-23
Provider Licenses
StateLicense IDTaxonomies
CADC34110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor