Provider Demographics
NPI:1972925774
Name:GARABEDIAN, TROY GUS (DC)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:GUS
Last Name:GARABEDIAN
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 1:29369 AUBERRY RD 101
Mailing Address - Street 2:
Mailing Address - City:PRATHER
Mailing Address - State:CA
Mailing Address - Zip Code:93651-9784
Mailing Address - Country:US
Mailing Address - Phone:559-855-8445
Mailing Address - Fax:559-855-8440
Practice Address - Street 1:29369 AUBERRY RD 101
Practice Address - Street 2:
Practice Address - City:PRATHER
Practice Address - State:CA
Practice Address - Zip Code:93651-9784
Practice Address - Country:US
Practice Address - Phone:559-855-8445
Practice Address - Fax:559-855-8440
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32796111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor