MEDICARE: SHAHAN SUZMEYAN

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1619558962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHAN SUZMEYAN

Provider Business Mailing Address
First Line	:	1782 W 25TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-2198
Country	:	US
Telephone Number	:	213-924-6442
Fax Number	:

Provider Business Practice Location Address
First Line	:	1782 W 25TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-2198
Country	:	US
Telephone Number	:	213-924-6442
Fax Number	:

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

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	04/19/2021

Similar Medicare Providers

1699471938 — HEIDY M DAVILA
Practice Location Address:

744 BEACON AVE APT 612
LOS ANGELES, CA
90017-2198

Practice Phone: 424-204-3525
Practice Fax:

1467586420 — MR. ALEJANDRO RODRIGUEZ
Practice Location Address:

2116 ARLINGTON AVE STE 100
LOS ANGELES, CA
90018-1300

Practice Phone: 323-334-9000
Practice Fax:

1487264412 — SAMANTHA RAQUEL STEPHENS
Practice Location Address:

2116 ARLINGTON AVE
LOS ANGELES, CA
90018-1353

Practice Phone: 323-334-9000
Practice Fax:

1093825853 — MRS. JESSICA HELEN BLUE-HOWELLS MSW
Practice Location Address:

2116 ARLINGTON AVE STE 100
LOS ANGELES, CA
90018-1300

Practice Phone: 323-334-3000
Practice Fax:

1376400101 — MONIQUE CARLSON
Practice Location Address:

2116 ARLINGTON AVE STE 100
LOS ANGELES, CA
90018-1300

Practice Phone: 323-334-9000
Practice Fax:

1043204324 — COUNTRY VILLA EAST L.P.
Practice Location Address:

2415 S WESTERN AVE
LOS ANGELES, CA
90018-2608

Practice Phone: 323-734-1101
Practice Fax: 323-734-3872

Directions to “ SHAHAN SUZMEYAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.