Tina Ghazarian
Nurse Practitioner, Gerontology in La Crescenta, CA. Individual provider (NPI-1).
NPI number1124565130
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1124565130
- Entity type
- Individual (NPI-1)
- Name
- Tina Ghazarian
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2017
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 95005429 | CA | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | 95005429 | CA |
Practice location
3945 Mayfield AveLa Crescenta, CA 91214
Phone 818-263-1232
Mailing address
3945 Mayfield AveLa Crescenta, CA 91214-2368
Other practice locations
1500 E. Duarte Road
Duarte, CA 91010
Duarte, CA 91010
Phone 626-256-4673
1500 E. Duarte Road
Duarte, CA 91010
Duarte, CA 91010
Phone 626-256-4673
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