Provider Demographics
NPI:1740388107
Name:POSTAJIAN, JON MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:MICHAEL
Last Name:POSTAJIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4406
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91222-0406
Mailing Address - Country:US
Mailing Address - Phone:818-381-2065
Mailing Address - Fax:818-843-3610
Practice Address - Street 1:716 S VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2425
Practice Address - Country:US
Practice Address - Phone:818-848-4459
Practice Address - Fax:818-843-3610
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA23569OtherCHIROPRACTIC BOARD LICENS