Doctor Name: | MRS. LUSYA GASPARYAN |
NPI Number: | 1205180874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 12501 Chandler Blvd Ste. 105 Valley Village, CA - 916071941 |
Business Phone Number: | 8185058183 |
Business Fax Number: | 8185058193 |
Mailing Address: | 12501 Chandler Blvd, Ste. 105 VALLEY VILLAGE |
State: | CA |
Postal Code: | 916071941 |
Phone Number: | 8185058183 |
Fax Number: | 8185058193 |
NPI Enumeration Date: | 11/05/2012 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |