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NPI Code Detail

MEDICARE: MS. MARINA G BARSUMIAN CRNA

MEDICARE: MS. MARINA G BARSUMIAN CRNA
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
1367500000XCertified Registered Nurse AnesthetistNA417CA

General Provider Information

NPI Number : 1497781603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARINA G BARSUMIAN CRNA
Provider Business Mailing Address
First Line : 11928 DUNNICLIFFE CT
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91326-1324
Country : US
Telephone Number : 818-360-5653
Fax Number : 909-985-3858
Provider Business Practice Location Address
First Line : 2080 CENTURY PARK E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-2009
Country : US
Telephone Number : 909-946-5752
Fax Number : 909-985-3858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MARINA G BARSUMIAN CRNA” Practice Location

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