MEDICARE: ANITA SAHAGIAN DO

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	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	20A20362	CA
2	207Q00000X	Family Medicine Physician	20A20362	CA

General Provider Information

NPI Number	:	1225693641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA SAHAGIAN DO

Provider Business Mailing Address
First Line	:	801 S CHEVY CHASE DR STE 201
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4435
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S CHEVY CHASE DR STE 201
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4435
Country	:	US
Telephone Number	:	818-500-5586
Fax Number	:

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

Provider Enumeration Date	:	05/01/2019
Last Update Date	:	10/25/2024

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