MEDICARE: LUSINE TAYMIZYAN

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	106S00000X	Behavior Technician		CA

General Provider Information

NPI Number	:	1275499931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUSINE TAYMIZYAN

Provider Business Mailing Address
First Line	:	425 W BROADWAY STE 450
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1366
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 W BROADWAY STE 450
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1366
Country	:	US
Telephone Number	:	818-539-9945
Fax Number	:

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

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

Similar Medicare Providers

1659237311 — CHRIST KHACHATOURIANS
Practice Location Address:

425 W BROADWAY STE 450
GLENDALE, CA
91204-1366

Practice Phone: 818-539-9945
Practice Fax:

1164388823 — JACOB BATTERSON
Practice Location Address:

425 W BROADWAY STE 450
GLENDALE, CA
91204-1366

Practice Phone: 818-539-9945
Practice Fax:

1972469641 — EVELYN STRODE
Practice Location Address:

425 W BROADWAY STE 450
GLENDALE, CA
91204-1366

Practice Phone: 818-539-9945
Practice Fax:

1841350725 — ANI BALEKIAN D.C.
Practice Location Address:

425 W BROADWAY STE 440
GLENDALE, CA
91204-1366

Practice Phone: 818-247-7566
Practice Fax: 818-254-0003

1467516922 — KEKLIKIAN CHIROPRACTIC, INC
Practice Location Address:

425 W BROADWAY STE 440
GLENDALE, CA
91204-1366

Practice Phone: 818-247-7566
Practice Fax: 818-254-0003

1922481076 — ARA MICHAEL KEKLIKIAN D.C.
Practice Location Address:

425 W BROADWAY STE 440
GLENDALE, CA
91204-1366

Practice Phone: 818-247-7566
Practice Fax:

Directions to “ LUSINE TAYMIZYAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.