Individual
ART NAZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6412 MATILIJA AVE STE 203, VAN NUYS, CA 91401-1576
(747) 777-3838
Mailing address
6412 MATILIJA AVE STE 203, VAN NUYS, CA 91401-1576
(747) 777-3838
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
823682229
CA
172A00000X
Driver
B5556393
CA
172A00000X
Driver
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
823682229
NON MEDICAL TRANSPORTATION
CA
Enumeration date
01/08/2018
Last updated
01/08/2018
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