Provider Demographics
NPI:1902202914
Name:POSTAJIAN CHIROPRACTIC GROUP, INC.
Entity Type:Organization
Organization Name:POSTAJIAN CHIROPRACTIC GROUP, INC.
Other - Org Name:MED-CHIRO GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:M
Authorized Official - Last Name:POSTAJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-780-2225
Mailing Address - Street 1:7400 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-1966
Mailing Address - Country:US
Mailing Address - Phone:818-780-2225
Mailing Address - Fax:818-780-2226
Practice Address - Street 1:7400 VAN NUYS BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1966
Practice Address - Country:US
Practice Address - Phone:818-780-2225
Practice Address - Fax:818-780-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23569111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty