Lara Atchabahian Samourjian, M.D.
Internal Medicine in Burbank, CA. Individual provider (NPI-1).
NPI number1144648262
StatusActive
Last updated in NPPESFeb 25, 2021
Details
- NPI
- 1144648262
- Entity type
- Individual (NPI-1)
- Name
- Lara Atchabahian Samourjian
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2014
- Certification date
- Feb 25, 2021
- Last updated
- Feb 25, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A138400 | CA | Yes |
Practice location
4323 W Riverside DrBurbank, CA 91505-4044
Phone 818-556-2700 · Fax 818-295-3450
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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