Provider Demographics
NPI:1255514956
Name:SAFARIAN, RAYMOND (CHIROPRACTOR)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:
Last Name:SAFARIAN
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6318 LAUREL CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3213
Mailing Address - Country:US
Mailing Address - Phone:818-760-3873
Mailing Address - Fax:818-760-9335
Practice Address - Street 1:6318 LAUREL CANYON BLVD
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3213
Practice Address - Country:US
Practice Address - Phone:818-760-3873
Practice Address - Fax:818-760-9335
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor