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NPI Code Detail

MEDICARE: DIANA MHERIAN

MEDICARE:   DIANA  MHERIAN
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
1103K00000XBehavior AnalystCA

General Provider Information

NPI Number : 1477891695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA MHERIAN
Provider Business Mailing Address
First Line : 1230 IRVING AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-1306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1230 IRVING AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91201-1306
Country : US
Telephone Number : 818-640-5480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2013
Last Update Date : 01/23/2013

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Directions to “ DIANA MHERIAN ” Practice Location

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