Organization
AVETISYAN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAHAN AVETISYAN D.C. (PRESIDENT)
(818) 981-1113
Entity
Organization
Contact information
Practice address
13223 VENTURA BLVD STE D, STUDIO CITY, CA 91604-1801
(818) 981-1113
(818) 981-1333
Mailing address
13223 VENTURA BLVD STE D, STUDIO CITY, CA 91604-1801
(818) 981-1113
(818) 981-1333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
30751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8182342836
ANTHEM BLUE CROSS PPO
CA
Enumeration date
04/30/2008
Last updated
08/21/2008
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