MEDICARE: DR. MARINA ZARGARYAN L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC8763	CA

General Provider Information

NPI Number	:	1164499828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARINA ZARGARYAN L.AC.

Provider Business Mailing Address
First Line	:	321 S BRAND BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1701
Country	:	US
Telephone Number	:	818-489-1272
Fax Number	:	818-507-0126

Provider Business Practice Location Address
First Line	:	321 S BRAND BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1701
Country	:	US
Telephone Number	:	818-489-1272
Fax Number	:	818-507-0126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2006
Last Update Date	:	01/22/2008

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Directions to “ DR. MARINA ZARGARYAN L.AC.” Practice Location

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