Provider Demographics
NPI:1124727821
Name:ADAMYAN, KARINE
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:ADAMYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7922 WILKINSON AVE
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-2209
Mailing Address - Country:US
Mailing Address - Phone:323-497-9988
Mailing Address - Fax:
Practice Address - Street 1:7922 WILKINSON AVE
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-2209
Practice Address - Country:US
Practice Address - Phone:323-497-9988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver