Provider Demographics
NPI:1194968412
Name:MARINE PAPAZIAN CHIROPRACTIC INC.
Entity type:Organization
Organization Name:MARINE PAPAZIAN CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-779-7877
Mailing Address - Street 1:14545 VICTORY BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4166
Mailing Address - Country:US
Mailing Address - Phone:818-779-7877
Mailing Address - Fax:818-779-1515
Practice Address - Street 1:14545 VICTORY BLVD STE 500
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4166
Practice Address - Country:US
Practice Address - Phone:818-779-7877
Practice Address - Fax:818-779-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29360111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty