Provider Demographics
NPI:1992377790
Name:ASRYAN, NAREK (MD)
Entity type:Individual
Prefix:
First Name:NAREK
Middle Name:
Last Name:ASRYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9516 TUJUNGA CANYON BLVD
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-3447
Mailing Address - Country:US
Mailing Address - Phone:818-468-6540
Mailing Address - Fax:
Practice Address - Street 1:1560 E CHEVY CHASE DR STE 355
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4159
Practice Address - Country:US
Practice Address - Phone:747-212-3441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA187556207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine