Healthcare Provider Details

I. General information

NPI: 1982306692
Provider Name (Legal Business Name): TALIN'S ACUPUNCTURE PRACTICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 03/20/2023
Certification Date: 03/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 N BRAND BLVD RM 3
GLENDALE CA
91202-2905
US

IV. Provider business mailing address

1926 ROSITA AVE
BURBANK CA
91504-2819
US

V. Phone/Fax

Practice location:
  • Phone: 818-643-5253
  • Fax:
Mailing address:
  • Phone: 818-383-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: TALIN MIRZAKHANIAN
Title or Position: CEO
Credential:
Phone: 818-383-5159