Individual
LUSINE SIMONYANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1511 W GLENOAKS BLVD, GLENDALE, CA 91201-1912
(818) 637-2200
(818) 637-2250
Mailing address
1511 W GLENOAKS BLVD, GLENDALE, CA 91201-1912
(818) 637-2200
(818) 637-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A104434
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A104434
CA
207RP1001X
Pulmonary Disease Physician
A104434
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001264101
—
PA
01
—
121885
GEISINGER HEALTH PLAN
PA
01
—
1577543
GATEWAY-WMG
PA
01
—
20080321
AMERIHEALTH MERCY-WMG
PA
01
—
2066650
HIGHMARK BLUE SHIELD
PA
01
—
212462
JOHNS HOPKINS
PA
01
—
250018
UNISON-WMG
PA
01
—
50080323
CAPITAL BLUS CROSS-WMG
PA
01
—
9164247
AETNA
PA
01
—
940467-01
CAREFIRST MD BCBS
MD
Enumeration date
05/08/2007
Last updated
10/04/2017
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