Healthcare Provider Details

I. General information

NPI: 1811544778
Provider Name (Legal Business Name): ZARINE TARAYAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2019
Last Update Date: 02/14/2022
Certification Date: 02/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8158 VAN NUYS BLVD
PANORAMA CITY CA
91402-4806
US

IV. Provider business mailing address

8158 VAN NUYS BLVD
PANORAMA CITY CA
91402-4806
US

V. Phone/Fax

Practice location:
  • Phone: 818-588-5055
  • Fax: 818-739-8976
Mailing address:
  • Phone: 818-588-5055
  • Fax: 818-739-8976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: