Shant Boolghoorjian
Community/Behavioral Health in Van Nuys, CA. Individual provider (NPI-1).
NPI number1659796258
StatusActive
Last updated in NPPESFeb 19, 2014
Details
- NPI
- 1659796258
- Entity type
- Individual (NPI-1)
- Name
- Shant Boolghoorjian
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2014
- Last updated
- Feb 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5727 Hillview Park AvenueVan Nuys, CA 91401
Phone 818-481-2941
Mailing address
5727 Hillview Park AveVan Nuys, CA 91401-4019
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