Healthcare Provider Details

I. General information

NPI: 1164873212
Provider Name (Legal Business Name): ARMEN ANTARAMIAN MHS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 HARBISON ST # A
QUINCY CA
95971-9442
US

IV. Provider business mailing address

56 HARBISON ST # A
QUINCY CA
95971-9442
US

V. Phone/Fax

Practice location:
  • Phone: 818-426-3680
  • Fax:
Mailing address:
  • Phone: 818-426-3680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: