Provider Demographics
NPI:1962439489
Name:ARMANI, ROBERT BENTLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BENTLEY
Last Name:ARMANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:BABAK
Other - Middle Name:
Other - Last Name:OMRANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, QME
Mailing Address - Street 1:6525 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1425
Mailing Address - Country:US
Mailing Address - Phone:818-988-2123
Mailing Address - Fax:818-988-2622
Practice Address - Street 1:6525 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1425
Practice Address - Country:US
Practice Address - Phone:818-988-2123
Practice Address - Fax:818-988-2622
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA66593Medicare UPIN
CAU66593Medicare UPIN