Healthcare Provider Details

I. General information

NPI: 1235743881
Provider Name (Legal Business Name): NPMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2020
Last Update Date: 10/15/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16101 VENTURA BLVD STE 300
ENCINO CA
91436-2514
US

IV. Provider business mailing address

16101 VENTURA BLVD STE 300
ENCINO CA
91436-2514
US

V. Phone/Fax

Practice location:
  • Phone: 818-533-8393
  • Fax:
Mailing address:
  • Phone: 818-533-8393
  • Fax: 818-485-2661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: ARMINE TADEVOSYAN
Title or Position: OWNER
Credential:
Phone: 818-533-8393