Iazichyan, Diana I

Iazichyan, Diana I is an sole proprietor health care provider with primary practice located at 17117 Tribune St , Granada Hills CA 91344-4938. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Iazichyan, Diana I can be contacted via phone (818) 983-3360.

Contact Information

Primary practice address
17117 Tribune St Granada Hills CA 91344-4938
Phone: (818) 983-3360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95016074 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95016074 California

Profile Details

NPI number 1508460833
LBN Legal business name Iazichyan, Diana I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2020
Last updated Nov 29th, 2020 - about 4 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.

Request for update

Popular Providers