Provider Demographics
NPI:1770641623
Name:ARAKELIAN, ALEN (DC)
Entity Type:Individual
Prefix:
First Name:ALEN
Middle Name:
Last Name:ARAKELIAN
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 1:7230 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE #202
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1907
Mailing Address - Country:US
Mailing Address - Phone:818-887-2535
Mailing Address - Fax:818-676-0090
Practice Address - Street 1:7230 MEDICAL CENTER DR
Practice Address - Street 2:SUITE #202
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1907
Practice Address - Country:US
Practice Address - Phone:818-887-2535
Practice Address - Fax:818-676-0090
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 26600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC26600OtherLICENSE
CADC26600OtherLICENSE NUMBER
CAU79482Medicare UPIN