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Alina Avetisyan

Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).

NPI number1962297754
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1962297754
Entity type
Individual (NPI-1)
Name
Alina Avetisyan
Sole proprietor
No
Enumeration date
Apr 11, 2025
Certification date
Mar 30, 2025
Last updated
Apr 11, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Phone 323-660-2450

Mailing address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

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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