Karolin Derhartonian, a Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC27218 Issued in CA

Legal business name

KAROLIN DERHARTONIAN, A PROFESSIONAL CHIROPRACTIC CORPORATION

Practice address

750 Fairmont Ave
Suite 102
Glendale, CA 91203-1046

Phone

(818) 500-9911

Fax

(818) 500-0193

NPI assigned

Sep 11, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karolin Derhartonian-Deravanessian, D.C.

Title

President

Phone

(818) 500-9911

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1740475029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912091012",
            "telephone_number": "818-500-9911",
            "fax_number": "818-500-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FAIRMONT AVE",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031046",
            "telephone_number": "818-500-9911",
            "fax_number": "818-500-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAROLIN DERHARTONIAN, A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DERHARTONIAN-DERAVANESSIAN",
        "authorized_official_first_name": "KAROLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-500-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Glendale, CA
• Providers in Glendale, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.