Provider Demographics
NPI:1477612430
Name:MOVSESSIAN, CLAUDE J (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:J
Last Name:MOVSESSIAN
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 1:20512 E ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-1238
Mailing Address - Country:US
Mailing Address - Phone:626-331-3988
Mailing Address - Fax:626-339-9782
Practice Address - Street 1:20512 E ARROW HWY
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-1238
Practice Address - Country:US
Practice Address - Phone:626-331-3988
Practice Address - Fax:626-339-9782
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23922111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU60806Medicare UPIN