NPI | 1740475029 |
---|---|
Entity Type | Organization |
Authorized Contact | KAROLIN DERHARTONIAN-DERAVANESSIAN President 818-500-9911 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27218) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2007-09-11 |