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NPI Code Detail

MEDICARE: MICHELLE TEHRANI HARTOUNIAN PPS

MEDICARE: MICHELLE TEHRANI HARTOUNIAN PPS
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
1101YS0200XSchool Counselor180103464CA

General Provider Information

NPI Number : 1811475742
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE TEHRANI HARTOUNIAN PPS
Provider Business Mailing Address
First Line : 460 OAK ST APT 317
Second Line :
City : GLENDALE
State : CA
Zip : 91204-1268
Country : US
Telephone Number : 818-333-6653
Fax Number :
Provider Business Practice Location Address
First Line : 223 N JACKSON ST
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4334
Country : US
Telephone Number : 818-241-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2018
Last Update Date : 01/05/2022

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Directions to “ MICHELLE TEHRANI HARTOUNIAN PPS” Practice Location

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