Provider Demographics
NPI:1427067966
Name:ALIKSANIAN, ZABYOUR (NP)
Entity type:Individual
Prefix:MRS
First Name:ZABYOUR
Middle Name:
Last Name:ALIKSANIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:ZEPURE
Other - Middle Name:LISA
Other - Last Name:ALIKSANIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:540 N MONTEBELLO BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-3662
Mailing Address - Country:US
Mailing Address - Phone:323-728-0080
Mailing Address - Fax:323-728-0090
Practice Address - Street 1:540 N MONTEBELLO BLVD
Practice Address - Street 2:STE D
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-3662
Practice Address - Country:US
Practice Address - Phone:323-728-0080
Practice Address - Fax:323-728-0090
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA388970363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA388970Medicare ID - Type Unspecified