Provider Demographics
NPI:1396019584
Name:PARIKIAN, KRISTINE (LAC)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:PARIKIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 ANDASOL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-1504
Mailing Address - Country:US
Mailing Address - Phone:818-823-6801
Mailing Address - Fax:
Practice Address - Street 1:18531 ROSCOE BLVD
Practice Address - Street 2:SUITE 215
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4641
Practice Address - Country:US
Practice Address - Phone:818-700-0478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10626171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist