Individual
MRS. MARINE POGOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 ROCK GLEN AVE APT 101, GLENDALE, CA 91205-4321
(213) 700-8228
Mailing address
1527 ROCK GLEN AVE APT 101, GLENDALE, CA 91205-4321
(213) 700-8228
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
343900000X
CA
2279P4000X
Patient Transport Registered Respiratory Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32-0651700
—
CA
01
—
343900000X
NON EMERGENCY TRANSPORT
CA
Enumeration date
06/08/2021
Last updated
06/08/2021
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