Healthcare Provider Details

I. General information

NPI: 1346034261
Provider Name (Legal Business Name): BRENDA A ASSIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26801 FARRINGDON AVE
EUCLID OH
44132-2031
US

IV. Provider business mailing address

26801 FARRINGDON AVE
EUCLID OH
44132-2031
US

V. Phone/Fax

Practice location:
  • Phone: 216-272-6035
  • Fax:
Mailing address:
  • Phone: 216-272-6035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: