Healthcare Provider Details

I. General information

NPI: 1730576406
Provider Name (Legal Business Name): NAREK VERANYAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2015
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date: 11/24/2015
Reactivation Date: 12/29/2015

III. Provider practice location address

1000 W CARSON ST
TORRANCE CA
90502-2059
US

IV. Provider business mailing address

1000 W CARSON ST
TORRANCE CA
90502-2004
US

V. Phone/Fax

Practice location:
  • Phone: 424-306-8070
  • Fax: 310-533-1841
Mailing address:
  • Phone: 424-306-8070
  • Fax: 310-533-1841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: