MEDICARE: LEO POLOSAJIAN MD A PROFESSIONAL MED CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	207R00000X	Internal Medicine Physician
3	207RC0001X	Clinical Cardiac Electrophysiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174664783	OTHER	CA	PERSONAL NPI NUMBER
2	A81080	OTHER	CA	CA LICENSE NUMBER

General Provider Information

NPI Number	:	1912122631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEO POLOSAJIAN MD A PROFESSIONAL MED CORP

Provider Business Mailing Address
First Line	:	4930 BALBOA BLVD UNIT 261278
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91426-7062
Country	:	US
Telephone Number	:	818-718-1600
Fax Number	:	818-718-1920

Provider Business Practice Location Address
First Line	:	7640 TAMPA AVE STE 101
Second Line	:
City	:	RESEDA
State	:	CA
Zip	:	91335-1713
Country	:	US
Telephone Number	:	818-718-1600
Fax Number	:	818-718-1920

Authorized Official
Title or Position	:	CEO
Name	:	LEO POLOSAJIAN
Credential	:	MD
Telephone Number	:	818-718-1600

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	06/19/2026

Similar Medicare Providers

1174664783 — DR. LEO POLOSAJIAN M.D.
Practice Location Address:

7640 TAMPA AVE STE 101
RESEDA, CA
91335-1713

Practice Phone: 818-718-1600
Practice Fax: 818-343-1612

1790122687 — HRIPSIME AVAGYAN D.O.
Practice Location Address:

7640 TAMPA AVE STE 106B
RESEDA, CA
91335-1713

Practice Phone: 747-277-4555
Practice Fax:

1932623659 — NSHAN D DEKEYAN DPM
Practice Location Address:

7640 TAMPA AVE STE 106
RESEDA, CA
91335-1713

Practice Phone: 818-697-8767
Practice Fax: 818-657-8776

1972083178 — NAREK GARUKYAN DPM
Practice Location Address:

7640 TAMPA AVE STE 106
RESEDA, CA
91335-1713

Practice Phone: 818-697-8767
Practice Fax: 818-697-8776

1255899209 — NONINVASIVE MEDICAL IMAGING INCORPORATED
Practice Location Address:

7640 TAMPA AVE STE 101
RESEDA, CA
91335-1713

Practice Phone: 818-718-1600
Practice Fax: 818-343-1612

1699307645 — NATALIE NVART SEXENIAN PHYSICIAN ASSISTANT
Practice Location Address:

7640 TAMPA AVE STE 101
RESEDA, CA
91335-1713

Practice Phone: 818-718-1600
Practice Fax:

Directions to “LEO POLOSAJIAN MD A PROFESSIONAL MED CORP ” 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.