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NPI Code Detail

MEDICARE: ROBIN ALYSSA MOVSESIAN

MEDICARE: ROBIN ALYSSA MOVSESIAN
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95020986CA

General Provider Information

NPI Number : 1417563859
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN ALYSSA MOVSESIAN
Provider Business Mailing Address
First Line : 4132 KATELLA AVE STE 200
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3496
Country : US
Telephone Number : 562-312-1777
Fax Number : 562-318-2257
Provider Business Practice Location Address
First Line : 4132 KATELLA AVE STE 200
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-3496
Country : US
Telephone Number : 562-312-1777
Fax Number : 562-318-2257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2020
Last Update Date : 04/23/2025

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Directions to “ ROBIN ALYSSA MOVSESIAN ” Practice Location

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