Provider Demographics
NPI:1811077340
Name:NERSISSIAN, ARBI (DC)
Entity type:Individual
Prefix:DR
First Name:ARBI
Middle Name:
Last Name:NERSISSIAN
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 1:1030 S GLENDALE AVE STE 507
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-2866
Mailing Address - Country:US
Mailing Address - Phone:818-548-4668
Mailing Address - Fax:818-548-8863
Practice Address - Street 1:1030 S GLENDALE AVE STE 507
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-2866
Practice Address - Country:US
Practice Address - Phone:818-548-4668
Practice Address - Fax:818-548-8863
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor