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NPI Code Detail

MEDICARE: ANI KANIAN

MEDICARE:   ANI  KANIAN
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
1363LF0000XFamily Nurse Practitioner95021110CA

General Provider Information

NPI Number : 1649964081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANI KANIAN
Provider Business Mailing Address
First Line : 1505 WILSON TER STE 370
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4000
Country : US
Telephone Number : 818-630-8680
Fax Number :
Provider Business Practice Location Address
First Line : 1505 WILSON TER STE 370
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4000
Country : US
Telephone Number : 818-630-8680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 09/25/2024

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Directions to “ ANI KANIAN ” Practice Location

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