Deravedissian, Harry
Deravedissian, Harry is an sole proprietor health care provider with primary practice located at 1829 S Brand Blvd , Glendale CA 91204-2902. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Deravedissian, Harry can be contacted via phone (818) 543-5900.Contact Information
Primary practice address
1829 S Brand Blvd
Glendale CA 91204-2902
Phone: (818) 543-5900
Fax: (818) 543-5902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC21942 | California |
Profile Details
| NPI number | 1548303803 |
|---|---|
| LBN Legal business name | Deravedissian, Harry |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548303803 | NPPES |
| California | MEDICAID | DC0219420 |
Popular Providers
-
Chau, Mabel M.P.
1415 E Colorado St Ste 209 , Glendale CA 91205-1541 -
Derhartonian-Deravanessian, Karolin
750 Fairmont Ave Suite 102, Glendale CA 91203-1046 -
Hovanessian, Rafi
600 W Broadway Suite 235, Glendale CA 91204-1033 -
Haig, Andrew
731 Cordova Ave , Glendale CA 91206-2115 -
Abramian-Morovati, Janine
3515 N Verdugo Rd , Glendale CA 91208-1288 -
Yanagita, Michael Kazuo
1640 Santa Barbara Ave , Glendale CA 91208-2021 -
Mnatsakanian, Goar
1540 W Glenoaks Blvd Suite # 103, Glendale CA 91201-1930 -
Karakhanian, Armen Y
620 N Brand Blvd Suite 403, Glendale CA 91203-4208