Individual provider · NPI-1
Marine Pogosyan
Driver · Glendale, CA
NPI number1164099040
StatusActive
Last updated in NPPESJun 8, 2021
Details
- NPI
- 1164099040
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marine Pogosyan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jun 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 343900000X | CA | Yes |
| 2279P4000X | Respiratory Therapist, Registered, Patient Transport | – | – |
Practice location
1527 Rock Glen Ave Apt 101Glendale, CA 91205-4321
Phone 213-700-8228
Mailing address
1527 Rock Glen Ave Apt 101Glendale, CA 91205-4321
Phone 213-700-8228
Is something wrong?
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