Provider Demographics
NPI:1346470218
Name:NALBANDYAN, LEVON (DC)
Entity Type:Individual
Prefix:
First Name:LEVON
Middle Name:
Last Name:NALBANDYAN
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 1:1241 N KENMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1505
Mailing Address - Country:US
Mailing Address - Phone:323-445-1331
Mailing Address - Fax:
Practice Address - Street 1:10510 VICTORY BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3962
Practice Address - Country:US
Practice Address - Phone:818-755-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-24
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor