MEDICARE: LIANA SARGSYAN

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1720552060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANA SARGSYAN

Provider Business Mailing Address
First Line	:	17216 SATICOY ST # 141
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91406-2103
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17037 CHATSWORTH ST STE 100
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-5881
Country	:	US
Telephone Number	:	818-206-9992
Fax Number	:

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

Provider Enumeration Date	:	01/21/2019
Last Update Date	:	03/26/2024

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Directions to “ LIANA SARGSYAN ” Practice Location

Language	Start Address	Practice Location

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