NPI Code Detail JSON Logo

1366585499 NPI number — IRENE JERNAZIAN-KANAIAN M.D.

NPI Number: 1366585499
Health Care Provider/Practitioner: IRENE JERNAZIAN-KANAIAN M.D.

Information about “1366585499” NPI (IRENE JERNAZIAN-KANAIAN M.D.) exists in 1366585499 in HTML format HTML  |  1366585499 in plain Text format TXT  |  1366585499 in PDF (Portable Document Format) PDF  |  1366585499 in an XML format XML  formats.

NPI Number : 1366585499 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366585499",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JERNAZIAN-KANAIAN",
    "FirstName": "IRENE",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1234 ALMA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENDALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91202-2053",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-247-8946",
    "MailingAddressFaxNumber": "818-240-0301",
    "FirstLinePracticeLocationAddress": "66 HURLBUT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91105-4025",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-441-4221",
    "PracticeLocationAddressFaxNumber": "626-441-3814",
    "EnumerationDate": "02/15/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "2084P0800X",
        "TaxonomyName": "Psychiatry Physician",
        "LicenseNumber": "A064103",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.