MEDICARE: NUSTART INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor
3	103TA0400X	Addiction (Substance Use Disorder) Psychologist
4	207QA0401X	Addiction Medicine (Family Medicine) Physician
5	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
6	261QM0850X	Adult Mental Health Clinic/Center
7	261QM1300X	Multi-Specialty Clinic/Center
8	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
9	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1902469547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUSTART INC

Provider Business Mailing Address
First Line	:	14320 VENTURA BLVD STE 453
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-2717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6608 SAN FERNANDO RD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1703
Country	:	US
Telephone Number	:	818-281-1101
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARPI NAZARYAN
Credential	:
Telephone Number	:	818-291-1101

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	04/18/2019

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Directions to “NUSTART INC ” Practice Location

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