Simonian, Stephan
Simonian, Stephan is an sole proprietor health care provider with primary practice located at 1141 N Brand Blvd Suite # 306, Glendale CA 91202. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Simonian, Stephan can be contacted via phone (818) 551-1118.Contact Information
Primary practice address
1141 N Brand Blvd Suite # 306
Glendale CA 91202
Phone: (818) 551-1118
Fax: (818) 551-1955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C50787 | California |
Profile Details
| NPI number | 1104924208 |
|---|---|
| LBN Legal business name | Simonian, Stephan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 31st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104924208 | NPPES |
| California | MEDICAID | 00C507870 |
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