Provider Demographics
NPI:1659556538
Name:GALAJIAN, PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:GALAJIAN
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 1:5123 W SUNSET BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5779
Mailing Address - Country:US
Mailing Address - Phone:323-661-9291
Mailing Address - Fax:323-661-8646
Practice Address - Street 1:5123 W SUNSET BLVD STE 209
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5779
Practice Address - Country:US
Practice Address - Phone:323-661-9291
Practice Address - Fax:323-661-8646
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27762111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWDC27762AMedicare PIN
CAU86557Medicare UPIN