Healthcare Provider Details

I. General information

NPI: 1184528457
Provider Name (Legal Business Name): SARMEN TAEJOIAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N LA BREA AVE
LOS ANGELES CA
90036-2911
US

IV. Provider business mailing address

1225 MARIPOSA ST APT 9 APT 9
GLENDALE CA
91205-3248
US

V. Phone/Fax

Practice location:
  • Phone: 424-444-9112
  • Fax:
Mailing address:
  • Phone: 818-966-8232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number51207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: