MEDICARE: SIRA AZROYAN

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	163W00000X	Registered Nurse	95427448	CA

General Provider Information

NPI Number	:	1518834738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIRA AZROYAN

Provider Business Mailing Address
First Line	:	12024 BRADFORD PL
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-2318
Country	:	US
Telephone Number	:	818-505-4335
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 W LEXINGTON DR STE 511A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-3664
Country	:	US
Telephone Number	:	747-279-6776
Fax Number	:

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

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	10/23/2025

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Directions to “ SIRA AZROYAN ” Practice Location

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