Healthcare Provider Details

I. General information

NPI: 1578798864
Provider Name (Legal Business Name): RONNIE KARAYAN MD APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 05/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W ALAMEDA AVE SUITE 202
BURBANK CA
91505-4402
US

IV. Provider business mailing address

2701 W ALAMEDA AVE SUITE 202
BURBANK CA
91505-4402
US

V. Phone/Fax

Practice location:
  • Phone: 818-843-8184
  • Fax: 818-843-4914
Mailing address:
  • Phone: 818-843-8184
  • Fax: 818-843-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RONNIE KARAYAN
Title or Position: OWNER
Credential: M.D.
Phone: 818-843-8184