Provider Demographics
NPI:1972639565
Name:KARAKHANIAN, ARMEN Y (DC)
Entity Type:Individual
Prefix:DR
First Name:ARMEN
Middle Name:Y
Last Name:KARAKHANIAN
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 1:1801 CIELITO DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1025
Mailing Address - Country:US
Mailing Address - Phone:818-507-5095
Mailing Address - Fax:
Practice Address - Street 1:620 N BRAND BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4208
Practice Address - Country:US
Practice Address - Phone:818-507-5095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20651111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA54220DCC0206510OtherBLUE SHIELD OF CALIFORNIA
CA54220DCC0206510OtherBLUE SHIELD OF CALIFORNIA