Provider Demographics
NPI:1811318769
Name:TER-NERSESYAN, KARO (DC)
Entity type:Individual
Prefix:
First Name:KARO
Middle Name:
Last Name:TER-NERSESYAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 N BRAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2577
Mailing Address - Country:US
Mailing Address - Phone:818-484-8944
Mailing Address - Fax:818-484-8943
Practice Address - Street 1:1141 N BRAND BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2577
Practice Address - Country:US
Practice Address - Phone:818-484-8944
Practice Address - Fax:818-484-8943
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-19
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor