Doctor Name: | KARMEN SERGEI TATULIAN |
NPI Number: | 1851561807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A 101992 |
Business Practice Address: | 8902 Woodman Ave Arleta, CA - 913316401 |
Business Phone Number: | 8188307033 |
Business Fax Number: | |
Mailing Address: | 8902 Woodman Avenue, El Proyecto Del Barrio, Inc. ARLETA |
State: | CA |
Postal Code: | 91331 |
Phone Number: | 8188307033 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2008 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A 101992 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |