Individual
DIANE ISRAELYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ORANGE GROVE AVE APT 5, GLENDALE, CA 91205-1288
(818) 862-0923
Mailing address
1000 ORANGE GROVE AVE APT 5, GLENDALE, CA 91205-1288
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95035090
CA
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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