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NPI Code Detail

MEDICARE: MERI GEVORGYAN

MEDICARE: MERI GEVORGYAN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1356206163
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERI GEVORGYAN
Provider Business Mailing Address
First Line : 3463 FOOTHILL BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91214-1856
Country : US
Telephone Number : 818-206-2442
Fax Number : 818-875-4660
Provider Business Practice Location Address
First Line : 3463 FOOTHILL BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91214-1856
Country : US
Telephone Number : 818-206-2442
Fax Number : 818-875-4660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2025
Last Update Date : 12/23/2025

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Directions to “ MERI GEVORGYAN ” Practice Location

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