Provider Demographics
NPI:1740514215
Name:U.S. CARE CHIROPRACTIC
Entity type:Organization
Organization Name:U.S. CARE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HAKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:DERBESHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-988-9685
Mailing Address - Street 1:14521 GILMORE ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1602
Mailing Address - Country:US
Mailing Address - Phone:818-988-9685
Mailing Address - Fax:818-988-9645
Practice Address - Street 1:14521 GILMORE ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1602
Practice Address - Country:US
Practice Address - Phone:818-988-9685
Practice Address - Fax:818-988-9645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31249111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty