Provider Demographics
NPI:1336684158
Name:GIRAGOSIAN CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:GIRAGOSIAN CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTIN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:GIRAGOSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-970-7678
Mailing Address - Street 1:2950 HONOLULU AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3929
Mailing Address - Country:US
Mailing Address - Phone:818-970-7678
Mailing Address - Fax:818-650-9060
Practice Address - Street 1:1464 SUGAR LOAF DR
Practice Address - Street 2:
Practice Address - City:LA CANADA
Practice Address - State:CA
Practice Address - Zip Code:91011-3920
Practice Address - Country:US
Practice Address - Phone:818-970-7678
Practice Address - Fax:818-650-9060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty