Provider Demographics
NPI:1679600217
Name:HAROUTIOUNIAN, ARMEN (DC)
Entity Type:Individual
Prefix:DR
First Name:ARMEN
Middle Name:
Last Name:HAROUTIOUNIAN
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 1:1508 W VERDUGO AVE
Mailing Address - Street 2:SUITE C1
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2445
Mailing Address - Country:US
Mailing Address - Phone:818-729-0300
Mailing Address - Fax:818-729-0400
Practice Address - Street 1:1508 W VERDUGO AVE
Practice Address - Street 2:SUITE C1
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2445
Practice Address - Country:US
Practice Address - Phone:818-729-0300
Practice Address - Fax:818-729-0400
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25451111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU73034Medicare UPIN
CADC25451Medicare ID - Type UnspecifiedLICENSE