Healthcare Provider Details

I. General information

NPI: 1447943931
Provider Name (Legal Business Name): CHRISTINA SIRVART DEIRMENJIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8767 WILSHIRE BLVD FL 3
BEVERLY HILLS CA
90211-2714
US

IV. Provider business mailing address

8767 WILSHIRE BLVD
BEVERLY HILLS CA
90211-2714
US

V. Phone/Fax

Practice location:
  • Phone: 424-314-0520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA209248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: