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NPI Code Detail

MEDICARE: REBECCA KARAMINASSIAN NP

MEDICARE: REBECCA KARAMINASSIAN NP
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 Practitioner357782CA

General Provider Information

NPI Number : 1710122981
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA KARAMINASSIAN NP
Provider Business Mailing Address
First Line : 1715 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-226-3237
Fax Number : 323-226-4263
Provider Business Practice Location Address
First Line : 1715 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-226-3237
Fax Number : 323-226-4263
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2008
Last Update Date : 12/02/2008

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