MEDICARE: DR. ARMIN GOLIAN AU.D.

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	231H00000X	Audiologist	3339	CA

General Provider Information

NPI Number	:	1255806352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARMIN GOLIAN AU.D.

Provider Business Mailing Address
First Line	:	12340 SANTA MONICA BLVD STE 133
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2584
Country	:	US
Telephone Number	:	310-666-1401
Fax Number	:

Provider Business Practice Location Address
First Line	:	1444 S CARMELINA AVE STE 133
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-2584
Country	:	US
Telephone Number	:	310-666-1401
Fax Number	:

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

Provider Enumeration Date	:	10/04/2018
Last Update Date	:	08/07/2020

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