Provider Demographics
NPI:1972966158
Name:GASPARYAN, GOHAR KRISTINA (DC)
Entity type:Individual
Prefix:
First Name:GOHAR
Middle Name:KRISTINA
Last Name:GASPARYAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 STANFORD RD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1943
Mailing Address - Country:US
Mailing Address - Phone:818-391-7728
Mailing Address - Fax:
Practice Address - Street 1:842 STANFORD RD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-1943
Practice Address - Country:US
Practice Address - Phone:818-391-7728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33469111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor