DR. RODRIK KHOSROVIAN (NPI# 1306001979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306001979 |
| Entity Type | Individual |
| Full Name | DR. RODRIK KHOSROVIAN |
| Credential | D.C. |
| Practice Address |
610 N Central Ave Suite 108 Glendale CA 91203-1403 |
| Practice Telephone | 8182400288 |
| Practice Fax Number | 8182400711 |
| Mailing Telephone | 8182400288 |
| Mailing Fax Number | 8182400711 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-27618 | CA | Chiropractic Providers |
| Street Address |
610 N CENTRAL AVE SUITE 108 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203777 | Vahe Stephan Yacoubian | Specialist | 610 N Central Ave, Suite 105, Glendale, CA 91203-1403 | 2006-07-25 |
| 1659628907 | Charlene Medina | Counselor | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2012-08-06 |
| 1750640736 | Medstar Physical Therapy. Inc. | Preferred Provider Organization | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2012-05-10 |
| 1407157878 | Samuel A Malayan Medical Corp | Family Medicine | 610 N Central Ave, Suite 301, Glendale, CA 91203-1403 | 2010-11-16 |
| 1538479563 | Soo Gyung Kim | Acupuncturist | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2010-10-08 |
| 1720314271 | California Care Corp | Health Maintenance Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2009-10-19 |
| 1205070463 | Robin Stacy Long | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2009-04-30 |
| 1871743278 | California Care Corp | Preferred Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-09-23 |
| 1467609917 | California Care Corporation | Exclusive Provider Organization | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2008-08-26 |
| 1316110885 | California Care Inc | Exclusive Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1174139042 | Fitness Covered Group LLC | Chiropractor | 654 Hawthorne St, Glendale, CA 91204-1002 | 2020-09-16 |
| 1558979732 | Fitness Covered LLC | Chiropractor | 654 Hawthorne St Ste B, Glendale, CA 91204-1002 | 2020-07-14 |
| 1386283182 | Jensen Moore Chiropractic Pllc | Chiropractor | 6033 W Bell Rd Ste H, Glendale, AZ 85308-3764 | 2019-12-27 |
| 1346888336 | Farzan Billimoria | Chiropractor | 18301 N 79th Ave Ste H192, Glendale, AZ 85308-8457 | 2019-12-20 |
| 1083170492 | Flex Pt and Chiropractic Medical Group A Medical Corporation | Chiropractor | 500 N Central Ave Ste 225, Glendale, CA 91203-1994 | 2019-02-11 |
| 1194200493 | Trinity Chiropractic, LLC | Chiropractor | 18275 N 59th Ave Ste 178, Glendale, AZ 85308-1254 | 2018-10-02 |
| 1033600101 | Michael Dellacorte | Chiropractor | 2505 Canada Blvd, Glendale, CA 91208-2042 | 2018-05-24 |
| 1891202909 | The Wellness Center, Inc | Chiropractor | 870 S Colorado Blvd Ste 200, Glendale, CO 80246-2080 | 2018-01-10 |
| 1598295180 | Weathersby Chiropractic | Chiropractor | 6033 W. Bell Road, Suite H, Glendale, AZ 85308-3764 | 2017-06-15 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.