Provider Demographics
NPI:1598346124
Name:PRIME PERFORMANCE CHIROPRACTIC BY KARAMKHODIAN PATRICK INC
Entity Type:Organization
Organization Name:PRIME PERFORMANCE CHIROPRACTIC BY KARAMKHODIAN PATRICK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAMKHODIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:424-217-5658
Mailing Address - Street 1:1201 S VICTORY BLVD STE 106
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2552
Mailing Address - Country:US
Mailing Address - Phone:424-217-5658
Mailing Address - Fax:424-217-5653
Practice Address - Street 1:1201 S VICTORY BLVD STE 106
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2552
Practice Address - Country:US
Practice Address - Phone:424-217-5658
Practice Address - Fax:424-217-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty