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1811909955 NPI number — MARYAM AHMADIAN N.P.

NPI Number: 1811909955
Health Care Provider/Practitioner: MARYAM AHMADIAN N.P.

Information about “1811909955” NPI (MARYAM AHMADIAN N.P.) exists in 1811909955 in HTML format HTML  |  1811909955 in plain Text format TXT  |  1811909955 in PDF (Portable Document Format) PDF  |  1811909955 in an XML format XML  formats.

NPI Number : 1811909955 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811909955",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AHMADIAN",
    "FirstName": "MARYAM",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "N.P.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11620 WILSHIRE BLVD STE 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90025-6801",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-385-3300",
    "MailingAddressFaxNumber": "310-423-3794",
    "FirstLinePracticeLocationAddress": "99 N LA CIENEGA BLVD STE 202",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEVERLY HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90211-2285",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-385-3300",
    "PracticeLocationAddressFaxNumber": "310-385-3366",
    "EnumerationDate": "08/13/2006",
    "LastUpdateDate": "09/15/2025",
    "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": "164W00000X",
        "TaxonomyName": "Licensed Practical Nurse",
        "LicenseNumber": "NP12577",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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