Provider Demographics
NPI:1942610167
Name:TCHAKALIAN, LEON (DC)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:
Last Name:TCHAKALIAN
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 1:2100 REDONDO BEACH BLVD
Mailing Address - Street 2:STE C #65
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1683
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 REDONDO BEACH BLVD
Practice Address - Street 2:STE C #65
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1683
Practice Address - Country:US
Practice Address - Phone:310-292-6995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23386111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor