Provider Demographics
NPI:1427437573
Name:K&D INJURY CLINICS
Entity type:Organization
Organization Name:K&D INJURY CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURESTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-909-2200
Mailing Address - Street 1:6740 VESPER AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4612
Mailing Address - Country:US
Mailing Address - Phone:818-909-2200
Mailing Address - Fax:818-553-1720
Practice Address - Street 1:6740 VESPER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4612
Practice Address - Country:US
Practice Address - Phone:818-909-2200
Practice Address - Fax:818-553-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31558111N00000X
CADC24336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty