Healthcare Provider Details
I. General information
NPI: 1093511271
Provider Name (Legal Business Name): BAGHRAMIAN PSYCHOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2025
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1910 W SUNSET BLVD STE 440
LOS ANGELES CA
90026-3262
US
IV. Provider business mailing address
1910 W SUNSET BLVD STE 440
LOS ANGELES CA
90026-3262
US
V. Phone/Fax
- Phone: 818-474-4799
- Fax: 818-484-3962
- Phone: 818-474-4799
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ARTIN
BAGHRAMIAN
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 818-383-0678