Physician Compare National (NPI:1154552305)

HEALTHCARE PROVIDER: LILIT BALTAIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154552305
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991962094
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120201000302
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BALTAIAN
	Individual professional last name
Provider First Name	LILIT
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1509 WILSON TER
	Group Practice or individual's line 1 address
City	GLENDALE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	912064007
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050124
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	USC VERDUGO HILLS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y