Minassians, Nastaran

Minassians, Nastaran is an sole proprietor health care provider with primary practice located at 4842 Hollywood Blvd , Los Angeles CA 90027-5302. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Minassians, Nastaran can be contacted via phone (323) 644-1118.

Contact Information

Primary practice address
4842 Hollywood Blvd Los Angeles CA 90027-5302
Fax: (323) 644-1171
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 12793 California

Profile Details

NPI number 1679741425
LBN Legal business name Minassians, Nastaran
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2008
Last updated Feb 14th, 2008 - about 17 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

Identifiers

StateTypeNumberIssuer
All States NPI 1679741425 NPPES
California MEDICAID FHC70436F
California MEDICAID EAP70436F
California MEDICAID HAP70436F
California Other W11698

Popular Providers