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Organization

NAZARIAN FAMILY CHIROPRACTIC A PROFESSIONAL CORPORATION

Active
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Organization

NAZARIAN FAMILY CHIROPRACTIC A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR M NAZARIAN D.C. (PROVIDER/OWNER)
(310) 209-0425
Entity
Organization

Contact information

Practice address
10921 WILSHIRE BLVD, SUITE# 801, LOS ANGELES, CA 90024-3906
(310) 209-0425
(310) 209-0495
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23926
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952344855
INDIVIDUAL NPI
CA
01
—
DC0239260
BLUE SHIELD
CA
01
—
W21238
GROUP PTAN
CA
01
—
WDC23926A
INDIVIDUAL PTAN
CA
Enumeration date
06/02/2006
Last updated
10/13/2010
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