Abaryan, Tatevik

Abaryan, Tatevik is an individual health care provider with primary practice located at 12450 Van Nuys Blvd , Pacoima CA 91331-1391. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abaryan, Tatevik can be contacted via phone (818) 896-1161.

Contact Information

Primary practice address
12450 Van Nuys Blvd Pacoima CA 91331-1391
Phone: (818) 896-1161
Fax: (818) 896-5069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY28336 California

Profile Details

NPI number 1952682619
LBN Legal business name Abaryan, Tatevik
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2011
Last updated Apr 2nd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952682619 NPPES
California MEDICAID 7068
California MEDICAID 7420
California MEDICAID 6758

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