Provider Demographics
NPI:1235002403
Name:EKMEKDJIAN, ANAHID (DC)
Entity type:Individual
Prefix:DR
First Name:ANAHID
Middle Name:
Last Name:EKMEKDJIAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2763 SANBORN AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2922
Mailing Address - Country:US
Mailing Address - Phone:818-415-9223
Mailing Address - Fax:
Practice Address - Street 1:13701 RIVERSIDE DR STE 747
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2449
Practice Address - Country:US
Practice Address - Phone:818-616-9355
Practice Address - Fax:818-616-9332
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30891111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty