MEDICARE: CLARISSA BURANASOMBATI

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	88861	CA

General Provider Information

NPI Number	:	1518730332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISSA BURANASOMBATI

Provider Business Mailing Address
First Line	:	2729 WINTER ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-2630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1487 E CHEVY CHASE DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4008
Country	:	US
Telephone Number	:	818-638-0135
Fax Number	:

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

Provider Enumeration Date	:	11/02/2023
Last Update Date	:	11/02/2023

Similar Medicare Providers

1932760535 — WALGREEN CO
Practice Location Address:

1487 E CHEVY CHASE DR
GLENDALE, CA
91206-4008

Practice Phone: 818-638-0135
Practice Fax: 818-638-0136

1295829299 — SOCAL PHYSICAL THERAPY ASSOCIATES INC.
Practice Location Address:

1489 E CHEVY CHASE DR
GLENDALE, CA
91206-4008

Practice Phone: 818-409-9990
Practice Fax: 818-409-9991

1578886651 — CORE HOME HEALTH AGENCY, INC.
Practice Location Address:

421 ARDEN AVE , SUITE B
GLENDALE, CA
91203-4008

Practice Phone: 818-637-2673
Practice Fax: 818-484-2074

1124515333 — HOMERIC HOME HEALTH SERVICES, INC
Practice Location Address:

421 ARDEN AVE STE A
GLENDALE, CA
91203-4008

Practice Phone: 818-245-6825
Practice Fax:

1447739636 — NARVISTA HOME HEALTH INC
Practice Location Address:

421 ARDEN AVE
GLENDALE, CA
91203-4008

Practice Phone: 818-268-9404
Practice Fax: 818-450-0244

1932689577 — GOLD STAR HOME HEALTH, INC.
Practice Location Address:

421 ARDEN AVE STE B
GLENDALE, CA
91203-4008

Practice Phone: 818-474-1102
Practice Fax: 818-671-0387

Directions to “ CLARISSA BURANASOMBATI ” 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.