Individual provider · Type 1 NPI
Maksim Igorevich Ishankhanov
Chiropractor · Burbank, CA
NPI number
1023943065
Active
Practice location
175 E Olive Ave Ste 200
Burbank, CA 91502-1821
Mailing address
11733 Avon Way Apt 101
Los Angeles, CA 90066-7224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 35207 (CA) |
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.
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About NPI 1023943065
Maksim Igorevich Ishankhanov's National Provider Identifier is 1023943065, issued on Jun 12, 2026. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Burbank, CA. The record was last updated on Jun 12, 2026.