MEDICARE: IRINA FRANGULYAN LAC

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	171100000X	Acupuncturist	AC16327	CA
2	363LF0000X	Family Nurse Practitioner	95030513	CA

General Provider Information

NPI Number	:	1780127118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINA FRANGULYAN LAC

Provider Business Mailing Address
First Line	:	1028 N LAKE AVE STE 205
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-4570
Country	:	US
Telephone Number	:	626-486-6037
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 N LAKE AVE STE 205
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-4570
Country	:	US
Telephone Number	:	626-486-6037
Fax Number	:

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

Provider Enumeration Date	:	12/03/2016
Last Update Date	:	06/06/2026

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Directions to “ IRINA FRANGULYAN LAC” Practice Location

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