Provider Demographics
NPI:1215933668
Name:ARGYELAN, ROBERT DAVID (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DAVID
Last Name:ARGYELAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 S MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-6011
Mailing Address - Country:US
Mailing Address - Phone:619-440-4035
Mailing Address - Fax:619-440-5992
Practice Address - Street 1:508 S MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-6011
Practice Address - Country:US
Practice Address - Phone:619-440-4035
Practice Address - Fax:619-440-5992
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-21
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWDC21221AMedicare ID - Type Unspecified
CAU51365Medicare UPIN