Healthcare Provider Details

I. General information

NPI: 1871414854
Provider Name (Legal Business Name): THE INJECTION CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17777 VENTURA BLVD STE 137
ENCINO CA
91316-3749
US

IV. Provider business mailing address

12400 VENTURA BLVD # 696
STUDIO CITY CA
91604-2406
US

V. Phone/Fax

Practice location:
  • Phone: 818-949-2041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SONA TERJANYAN
Title or Position: OWNER
Credential: NP
Phone: 818-949-2041