Provider Demographics
NPI:1942693445
Name:DORIAN, SARO (DC)
Entity Type:Individual
Prefix:
First Name:SARO
Middle Name:
Last Name:DORIAN
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 1:640 S SAN VICENTE BLVD STE 481
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4666
Mailing Address - Country:US
Mailing Address - Phone:424-266-7878
Mailing Address - Fax:424-266-7879
Practice Address - Street 1:640 S SAN VICENTE BLVD STE 481
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4666
Practice Address - Country:US
Practice Address - Phone:424-266-7878
Practice Address - Fax:424-266-7879
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-09
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20383111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor