Provider Demographics
NPI:1386727758
Name:GAREN VARTANIAN, D.C.
Entity type:Organization
Organization Name:GAREN VARTANIAN, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-918-9542
Mailing Address - Street 1:1228 N HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91744-1630
Mailing Address - Country:US
Mailing Address - Phone:626-918-9542
Mailing Address - Fax:626-918-9539
Practice Address - Street 1:1228 N HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-1630
Practice Address - Country:US
Practice Address - Phone:626-918-9542
Practice Address - Fax:626-918-9539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-27187111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty