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NPI Code Detail

MEDICARE: NARINEH BABOOMIAN

MEDICARE:   NARINEH  BABOOMIAN
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
1390200000XStudent in an Organized Health Care Education/Training Program
2171M00000XCase Manager/Care Coordinator
31041C0700XClinical Social WorkerASW124169CA

General Provider Information

NPI Number : 1790418291
Entity Type Code : Individual
Provider Name (Legal Business Name) : NARINEH BABOOMIAN
Provider Business Mailing Address
First Line : 1145 E WILSON AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4538
Country : US
Telephone Number : 818-274-1945
Fax Number :
Provider Business Practice Location Address
First Line : 1145 E WILSON AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4538
Country : US
Telephone Number : 818-274-1945
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2022
Last Update Date : 11/20/2024

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Directions to “ NARINEH BABOOMIAN ” Practice Location

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