Active NPI
Garo H. Bouldoukian, D.C
- Chiropractor
- Glendale, CA
National Provider Identifier
1346275161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16274
- Practice address
- 3200 La Crescenta Ave #a
Glendale, CA 91208 - Phone
- (818) 236-2708
- Fax
- (818) 236-2738
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC16274 | CA | Primary |
Addresses
Primary practice location
3200 La Crescenta Ave #a
Glendale, CA 91208
Mailing address
3200 La Crescenta Ave #a
Glendale, CA 91208
Phone (818) 236-2708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1346275161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 LA CRESCENTA AVE #A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91208",
"telephone_number": "818-236-2708",
"fax_number": "818-236-2738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 LA CRESCENTA AVE #A",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91208",
"telephone_number": "818-236-2708",
"fax_number": "818-236-2738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULDOUKIAN",
"first_name": "GARO",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.