Individual
DIANA KIRAKOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 N VERMONT AVE, LOS ANGELES, CA 90029-1704
(323) 660-5624
Mailing address
9900 CABANAS AVE, TUJUNGA, CA 91042-2929
(818) 319-6483
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
742425
CA
363LG0600X
Gerontology Nurse Practitioner
742425
CA
Other
Enumeration date
03/20/2023
Last updated
05/15/2023
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