Provider Demographics
NPI:1407077530
Name:TCHAKIAN, GARO K (DC)
Entity Type:Individual
Prefix:
First Name:GARO
Middle Name:K
Last Name:TCHAKIAN
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 1:14558 SYLVAN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-2324
Mailing Address - Country:US
Mailing Address - Phone:818-989-2225
Mailing Address - Fax:818-989-2139
Practice Address - Street 1:14558 SYLVAN ST STE 201
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:818-989-2225
Practice Address - Fax:818-989-2139
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC21879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor