Individual
NASTARAN MINASSIANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4842 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-5302
(323) 644-1118
(323) 644-1171
Mailing address
15206 PARTHENIA ST, NORTH HILLS, CA 91343-5305
(818) 895-3100
(818) 892-3352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12793
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAP70436F
—
CA
05
—
FHC70436F
—
CA
05
—
HAP70436F
—
CA
01
—
W11698
GROUP ID
CA
Enumeration date
02/14/2008
Last updated
02/14/2008
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