MEDICARE: SUSAN KARSYAN

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	163W00000X	Registered Nurse	95303740	CA
2	163WN1003X	Nutrition Support Registered Nurse	95303740	CA
3	171M00000X	Case Manager/Care Coordinator	95303740	CA

General Provider Information

NPI Number	:	1386438000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN KARSYAN

Provider Business Mailing Address
First Line	:	6944 BELLAIRE AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-5223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6944 BELLAIRE AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-5223
Country	:	US
Telephone Number	:	818-292-2229
Fax Number	:

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

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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Directions to “ SUSAN KARSYAN ” Practice Location

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