MEDICARE: ANI KOURCHIANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86109674	CA

General Provider Information

NPI Number	:	1043160864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANI KOURCHIANS

Provider Business Mailing Address
First Line	:	2300 CARWILE DR
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-4514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 CARWILE DR
Second Line	:
City	:	ALHAMBRA
State	:	CA
Zip	:	91803-4514
Country	:	US
Telephone Number	:	818-808-2312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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Directions to “ ANI KOURCHIANS ” Practice Location

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