Provider Demographics
NPI:1942642772
Name:BARGAMIAN, BROOKE (DC)
Entity Type:Individual
Prefix:MS
First Name:BROOKE
Middle Name:
Last Name:BARGAMIAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6225 N FRESNO ST #103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710
Mailing Address - Country:US
Mailing Address - Phone:559-478-4583
Mailing Address - Fax:559-478-4594
Practice Address - Street 1:6225 N FRESNO ST STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5268
Practice Address - Country:US
Practice Address - Phone:559-478-4583
Practice Address - Fax:559-478-4594
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32656111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor