Provider Demographics
NPI:1649069774
Name:SARADJIAN, OGANES (DC)
Entity type:Individual
Prefix:DR
First Name:OGANES
Middle Name:
Last Name:SARADJIAN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11541 STAGG ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-2621
Mailing Address - Country:US
Mailing Address - Phone:747-340-4003
Mailing Address - Fax:
Practice Address - Street 1:7709 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2120
Practice Address - Country:US
Practice Address - Phone:747-340-4003
Practice Address - Fax:818-474-7474
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor