Provider Demographics
NPI:1245098029
Name:BABOUJIAN ACUPUNCTURE INC
Entity type:Organization
Organization Name:BABOUJIAN ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANT
Authorized Official - Middle Name:ROUPEN
Authorized Official - Last Name:BABOUJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-421-6503
Mailing Address - Street 1:411 N CENTRAL AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2057
Mailing Address - Country:US
Mailing Address - Phone:310-421-6503
Mailing Address - Fax:888-388-1986
Practice Address - Street 1:411 N CENTRAL AVE STE 350
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2057
Practice Address - Country:US
Practice Address - Phone:310-421-6503
Practice Address - Fax:888-388-1986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty