Healthcare Provider Details

I. General information

NPI: 1730413154
Provider Name (Legal Business Name): DR. RENEH KARAMIANS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2009
Last Update Date: 04/24/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E OLIVE AVE
BURBANK CA
91501-3316
US

IV. Provider business mailing address

10913 TUJUNGA CANYON BLVD
TUJUNGA CA
91042-1223
US

V. Phone/Fax

Practice location:
  • Phone: 818-641-4659
  • Fax:
Mailing address:
  • Phone: 818-641-4659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number32719
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: