MEDICARE: DR. IRINA S ABRAMIANS PSY.D.

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	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC0700X	Clinical Psychologist	PY1016	NV

General Provider Information

NPI Number	:	1528318102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRINA S ABRAMIANS PSY.D.

Provider Business Mailing Address
First Line	:	3580 WILSHIRE BLVD
Second Line	:	SUITE 2000
City	:	LOS ANGELES
State	:	CA
Zip	:	90010-2501
Country	:	US
Telephone Number	:	213-381-1250
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 S BUFFALO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2869
Country	:	US
Telephone Number	:	702-546-9600
Fax Number	:

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

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	07/23/2021

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