Provider Demographics
NPI:1013107200
Name:JOSEPH K. MERDKHANIAN D.C. INC.
Entity Type:Organization
Organization Name:JOSEPH K. MERDKHANIAN D.C. INC.
Other - Org Name:GLENDALE SPORTS INJURY & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:KEVORK
Authorized Official - Last Name:MERDKHANINAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-243-6632
Mailing Address - Street 1:1030 S GLENDALE AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2866
Mailing Address - Country:US
Mailing Address - Phone:818-243-6632
Mailing Address - Fax:818-243-6914
Practice Address - Street 1:1030 S GLENDALE AVE STE 401
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2866
Practice Address - Country:US
Practice Address - Phone:818-243-6632
Practice Address - Fax:818-243-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty