# STEPHAN SIMONIAN MD APC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871810374
- **Authorized official:** STEPHAN SIMONIAN M.D. (PRESIDENT)
- **Authorized official phone:** (818) 551-1118

## Contact information

- **Practice address:** 1141 N BRAND BLVD, SUITE \# 306, GLENDALE, CA 91202-2511
- **Practice address phone:** (818) 551-1118
- **Practice address fax:** (818) 551-1955
- **Mailing address:** 1141 N BRAND BLVD, SUITE \# 306, GLENDALE, CA 91202-2511
- **Mailing address phone:** (818) 551-1118
- **Mailing address fax:** (818) 551-1955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 06/08/2010