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Dr. Harry Deravedissian, DC
Chiropractor in Glendale, California
NPI 1548303803

Harry Deravedissian is a Chiropractor based in Glendale, CA. Harry Deravedissian practices in Glendale, CA and has the professional credentials of DC. The NPI Number for Harry Deravedissian is 1548303803 and holds a License No. DC21942 (California).

The current practice location address for Harry Deravedissian is 1829 S Brand Blvd, Glendale, CA and can be reached out via phone at 818-543-5900 and via fax at 818-543-5902.

Location: 1829 S Brand Blvd, Glendale, CA, 91204-2902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548303803
Provider Name
Harry Deravedissian
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1829 S Brand Blvd, Glendale, CA, 91204-2902
Phone Number
818-543-5900
Fax Number
818-543-5902
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC0219420 05 CA
institution
Provider Business Practice Location Address Details
Address
1829 S Brand Blvd
City
Glendale
State
California
Zip
91204-2902
Phone Number
818-543-5900
Fax Number
818-543-5902
person
Provider Business Mailing Address Details
Address
1829 S Brand Blvd
City
Glendale
State
California
Zip
91204-2902
Phone Number
818-543-5900
Fax Number
818-543-5902
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC21942 (California)
Definition
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.
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