Organization
CLISBY-TITIZIAN CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GASSIA TITIZIAN DC (OWNER)
(818) 244-7600
Entity
Organization
Contact information
Practice address
615 W 9TH ST, SAN PEDRO, CA 90731-3107
(818) 244-7600
(818) 244-6400
Mailing address
1620 VICTORY BLVD, GLENDALE, CA 91201-2915
(818) 244-7600
(818) 244-6400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC30877
LICENSE
CA
Enumeration date
06/07/2022
Last updated
06/07/2022
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