Healthcare Provider Details

I. General information

NPI: 1801908397
Provider Name (Legal Business Name): TALIN ARSEN DADOYAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 VAN NUYS BLVD STE 202
SHERMAN OAKS CA
91403-1717
US

IV. Provider business mailing address

13351-D RIVERSIDE DR. # 246
SHERMAN OAKS CA
91423-2510
US

V. Phone/Fax

Practice location:
  • Phone: 818-461-8911
  • Fax: 818-688-0292
Mailing address:
  • Phone: 855-838-8484
  • Fax: 800-713-1290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC52825
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License NumberC52825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: