MEDICARE: DR. ANAIT MARTIROSIAN

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	183500000X	Pharmacist	RPH57638	CA

General Provider Information

NPI Number	:	1508244005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANAIT MARTIROSIAN

Provider Business Mailing Address
First Line	:	15040 SHERVIEW PL
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-5036
Country	:	US
Telephone Number	:	818-935-9877
Fax Number	:

Provider Business Practice Location Address
First Line	:	22915 VICTORY BLVD
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-3533
Country	:	US
Telephone Number	:	818-716-1275
Fax Number	:

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

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	05/15/2015

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