NPI Code Detail JSON Logo

1477795029 NPI number — TALENE CHURUKIAN, D.O., M.P.H., A PROFESSIONAL MEDICAL CORPORATION

NPI Number: 1477795029
Health Care Provider/Practitioner: TALENE CHURUKIAN, D.O., M.P.H., A PROFESSIONAL MEDICAL CORPORATION

Information about “1477795029” NPI (TALENE CHURUKIAN, D.O., M.P.H., A PROFESSIONAL MEDICAL CORPORATION) exists in 1477795029 in HTML format HTML  |  1477795029 in plain Text format TXT  |  1477795029 in PDF (Portable Document Format) PDF  |  1477795029 in an XML format XML  formats.

NPI Number : 1477795029 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477795029",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TALENE CHURUKIAN, D.O., M.P.H., A PROFESSIONAL MEDICAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "630 S RAYMOND AVE",
    "SecondLineMailingAddress": "310",
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91105-3278",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-344-0430",
    "MailingAddressFaxNumber": "626-956-0565",
    "FirstLinePracticeLocationAddress": "630 S RAYMOND AVE",
    "SecondLinePracticeLocationAddress": "310",
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91105-3278",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-344-0430",
    "PracticeLocationAddressFaxNumber": "626-956-0565",
    "EnumerationDate": "03/28/2009",
    "LastUpdateDate": "05/07/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHURUKIAN",
    "AuthorizedOfficialFirstName": "TALENE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.O., M.P.H.",
    "AuthorizedOfficialTelephoneNumber": "818-602-7654",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "20A9346",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RS0012X",
          "TaxonomyName": "Sleep Medicine (Internal Medicine) Physician",
          "LicenseNumber": "20A9346",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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