Healthcare Provider Details

I. General information

NPI: 1780127118
Provider Name (Legal Business Name): IRINA FRANGULYAN LAC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 WILSHIRE BLVD STE 800
LOS ANGELES CA
90017-3909
US

IV. Provider business mailing address

1028 N LAKE AVE STE 205
PASADENA CA
91104-4570
US

V. Phone/Fax

Practice location:
  • Phone: 213-839-1119
  • Fax:
Mailing address:
  • Phone: 626-486-6037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030513
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16327
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: