# BODY SYSTEMS WELLNESS GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Body Systems Wellness Group Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427578848
- **Authorized official:** SHAHEN KURESTIAN D.C. (PROVIDER)
- **Authorized official phone:** (818) 240-2233

## Contact information

- **Practice address:** 800 S CENTRAL AVE STE 206, GLENDALE, CA 91204-4379
- **Practice address phone:** (818) 240-2233
- **Practice address fax:** (818) 240-2237
- **Mailing address:** 800 S CENTRAL AVE STE 206, GLENDALE, CA 91204-4379
- **Mailing address phone:** (818) 240-2233
- **Mailing address fax:** (818) 240-2237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC27167 | CA | — |
| 111N00000X | Chiropractor | DC31558 | CA | — |
| 111N00000X | Chiropractor | DC33522 | CA | — |
| 208200000X | Plastic Surgery Physician | C35643 | CA | — |
| 208VP0014X | Interventional Pain Medicine Physician | A122407 | CA | — |
| 363L00000X | Nurse Practitioner | 95007091 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 9500791 | NURSE PRACTIONER | CA |
| 01 | — | A122407 | PAINE MEDICINE INTERVENTIONAL | CA |
| 01 | — | C35643 | PLASTIC SURGERY | CA |
| 01 | — | DC27167 | CHIROPRACTOR | CA |
| 01 | — | DC31558 | CHIROPRACTOR | CA |
| 01 | — | DC33522 | CHIROPRACTOR | CA |