Provider Demographics
NPI:1053093435
Name:TITIZYAN, YERVAND (DOCTOR OF CHIROPRACT)
Entity type:Individual
Prefix:
First Name:YERVAND
Middle Name:
Last Name:TITIZYAN
Suffix:
Gender:M
Credentials:DOCTOR OF CHIROPRACT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 E COLORADO ST STE 570
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-5117
Mailing Address - Country:US
Mailing Address - Phone:747-777-2255
Mailing Address - Fax:747-777-4090
Practice Address - Street 1:425 E COLORADO ST STE 570
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-5117
Practice Address - Country:US
Practice Address - Phone:747-777-2255
Practice Address - Fax:747-777-4090
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor