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NPI Code Detail

MEDICARE: MRS. ARPI MANSOURIAN MSW

MEDICARE: MRS. ARPI MANSOURIAN MSW
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
11041C0700XClinical Social WorkerCA

General Provider Information

NPI Number : 1649300872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARPI MANSOURIAN MSW
Provider Business Mailing Address
First Line : PO BOX 21041
Second Line :
City : GLENDALE
State : CA
Zip : 91221-5141
Country : US
Telephone Number : 818-645-8655
Fax Number :
Provider Business Practice Location Address
First Line : 1721 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3062
Country : US
Telephone Number : 323-221-4134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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