Provider Demographics
NPI:1417307158
Name:NORTH HOLLYWOOD CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:NORTH HOLLYWOOD CHIROPRACTIC CENTER
Other - Org Name:NOHO CHIROPRACTIC CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRAYR
Authorized Official - Middle Name:GREG
Authorized Official - Last Name:MOVSESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-980-7500
Mailing Address - Street 1:5953 LAUREL CANYON BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607
Mailing Address - Country:US
Mailing Address - Phone:818-980-7500
Mailing Address - Fax:818-980-7501
Practice Address - Street 1:7850 GOODLAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605
Practice Address - Country:US
Practice Address - Phone:818-216-7431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31748111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty