Provider Demographics
NPI:1689366379
Name:AVAKIAN CHIROPRACTIC AND PERFORMANCE, INCORPORATED
Entity Type:Organization
Organization Name:AVAKIAN CHIROPRACTIC AND PERFORMANCE, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:AVAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:925-864-6507
Mailing Address - Street 1:3011 CITRUS CIR STE 102
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2671
Mailing Address - Country:US
Mailing Address - Phone:925-864-6507
Mailing Address - Fax:
Practice Address - Street 1:3011 CITRUS CIR STE 102
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2671
Practice Address - Country:US
Practice Address - Phone:925-864-6507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty