Individual
DIANA BOGHOZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 W GLENOAKS BLVD, GLENDALE, CA 91201-1542
(818) 243-1186
Mailing address
11150 GLENOAKS BLVD UNIT 19, PACOIMA, CA 91331-6626
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015258
CA
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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