Healthcare Provider Details

I. General information

NPI: 1942943790
Provider Name (Legal Business Name): MARINA ARMANIOUS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 S EASTERN AVE STE 100
LOS ANGELES CA
90040-2964
US

IV. Provider business mailing address

7813 BENARES ST
DOWNEY CA
90241-6005
US

V. Phone/Fax

Practice location:
  • Phone: 323-647-6740
  • Fax:
Mailing address:
  • Phone: 337-292-6036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: