MEDICARE: LOUIZA LANA AZIZIAN

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	363LF0000X	Family Nurse Practitioner	95038251	CA

General Provider Information

NPI Number	:	1235081985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUIZA LANA AZIZIAN

Provider Business Mailing Address
First Line	:	513 CUMBERLAND RD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-1208
Country	:	US
Telephone Number	:	818-441-2289
Fax Number	:

Provider Business Practice Location Address
First Line	:	1648 W GLENOAKS BLVD # 102
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1827
Country	:	US
Telephone Number	:	818-553-3777
Fax Number	:

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ LOUIZA LANA AZIZIAN ” Practice Location

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