MEDICARE: SUZANA VARTANYAN

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	163WH1000X	Hospice Registered Nurse	837777	CA

General Provider Information

NPI Number	:	1275109449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANA VARTANYAN

Provider Business Mailing Address
First Line	:	7436 COLDWATER CANYON AVE STE 1
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-3501
Country	:	US
Telephone Number	:	818-388-8815
Fax Number	:

Provider Business Practice Location Address
First Line	:	7436 COLDWATER CANYON AVE STE 1
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-3501
Country	:	US
Telephone Number	:	818-388-8815
Fax Number	:

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

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/28/2021

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Directions to “ SUZANA VARTANYAN ” Practice Location

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