Provider Demographics
NPI:1841305562
Name:TOVANYAN, ARUTYUN (DC)
Entity type:Individual
Prefix:DR
First Name:ARUTYUN
Middle Name:
Last Name:TOVANYAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11650 RIVERSIDE DR STE 6
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1066
Mailing Address - Country:US
Mailing Address - Phone:818-980-1221
Mailing Address - Fax:818-980-3221
Practice Address - Street 1:11650 RIVERSIDE DR STE 6
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602-1066
Practice Address - Country:US
Practice Address - Phone:818-980-1221
Practice Address - Fax:818-980-3221
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29828111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC29828OtherCA STATE LICENSE