MEDICARE: TINY STEPS PEDIATRIC URGENT CARE INC

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1649090101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINY STEPS PEDIATRIC URGENT CARE INC

Provider Business Mailing Address
First Line	:	900 W GLENOAKS BLVD STE F
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2664
Country	:	US
Telephone Number	:	818-241-4129
Fax Number	:	818-241-0472

Provider Business Practice Location Address
First Line	:	900 W GLENOAKS BLVD STE F
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2664
Country	:	US
Telephone Number	:	818-241-4129
Fax Number	:	818-241-0472

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARA SHAFRAZIAN
Credential	:	MD
Telephone Number	:	818-384-3804

Provider Enumeration Date	:	10/10/2024
Last Update Date	:	03/18/2026

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