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NPI Code Detail

MEDICARE: NORA GHODSIAN, INC

MEDICARE: NORA GHODSIAN, INC
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
11041C0700XClinical Social Worker16227CA

General Provider Information

NPI Number : 1396766788
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORA GHODSIAN, INC
Provider Business Mailing Address
First Line : 651 S BEVERLY GLEN BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-2531
Country : US
Telephone Number : 310-441-1895
Fax Number :
Provider Business Practice Location Address
First Line : 651 S BEVERLY GLEN BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-2531
Country : US
Telephone Number : 310-441-1895
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. NORA GHODSIAN
Credential :
Telephone Number : 310-441-1895
Provider Enumeration Date : 07/21/2006
Last Update Date : 08/22/2020

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