DR. MARINE DEMIRJIAN (NPI# 1669624219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669624219 |
| Entity Type | Individual |
| Full Name | DR. MARINE DEMIRJIAN |
| Credential | M.D. |
| Practice Address |
1131 N Pacific Ave Glendale CA 91202 |
| Mailing Address |
1131 N Pacific Ave Glendale CA 91202-2358 |
| Practice Telephone | 8185585828 |
| Practice Fax Number | 8887171542 |
| Mailing Telephone | 8185585828 |
| Mailing Fax Number | 8887171542 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A111311 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1131 N PACIFIC AVE |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043733421 | Sunrise Home Health Services, Inc. | Home Health | 1131 N Pacific Ave, Glendale, CA 91202-2358 | 2017-07-18 |
| 1225467590 | Allergy and Asthma Treatment Center, P.C. | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202-2358 | 2013-11-06 |
| 1700214079 | Cornerstone Compounding Pharmacy Inc | Pharmacy | 1131 N Pacific Ave, Glendale, CA 91202-2358 | 2013-10-24 |
| 1730498684 | Mission Pharmacy and Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 1131 N Pacific Ave, Glendale, CA 91202-2358 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| 1568631760 | Faranak Hosseinkhani | Physical Therapist | 512 W.stocker St, Apt # 6, Glendale, CA 91202 | 2008-02-21 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528570678 | Dossier Health Management | Allergy & Immunology | 138 N Brand Blvd Ste 200-106, Glendale, CA 91203-4614 | 2017-10-30 |
| 1598783789 | Peter J Parker | Allergy & Immunology | 1100 W Glenoaks Blvd, Glendale, CA 91202-2606 | 2006-07-17 |
| 1801821152 | Todd Michael Hrabak | Allergy & Immunology | 5750 W. Thunderbird Rd #g780, Glendale, AZ 85306-4636 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078743 | Rhonda J. Myers, M.d. | Allergy & Immunology | 4902 Irvine Center Dr Ste 108, Irvine, CA 92604-3334 | 2020-03-18 |
| 1063903201 | Nisha Ann Roy | Allergy & Immunology | 1923 Coffee Rd Ste 12, Modesto, CA 95355-2708 | 2018-05-23 |
| 1619472024 | Professional Diagnostic Solutions Inc | Allergy & Immunology | 16940 Chatsworth St Unit 303, Granada Hills, CA 91344-5864 | 2018-03-27 |
| 1467805358 | James Patrick Kemp | Allergy & Immunology | 15904 Cuyamaca Forest Rd, Julian, CA 92036-9641 | 2016-07-15 |
| 1528426053 | Allergy Asthma Sinusitis Medical Clinic Inc Divyang Trivedi | Allergy & Immunology | 11832 Rosecrans Ave # 200, Norwalk, CA 90650-4107 | 2016-01-28 |
| 1932564879 | Tri Valley Allergy | Allergy & Immunology | 1038 Murrieta Blvd Ste B, Livermore, CA 94550-4151 | 2015-12-18 |
| 1881074748 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1853 Lander Ave, Turlock, CA 95380-6240 | 2015-06-05 |
| 1265812119 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1923 Coffee Road, 12c, Modesto, CA 95355-2708 | 2015-06-05 |
| 1972983815 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1415 Badger Flat Rd, A, Los Banos, CA 93635-8600 | 2015-06-05 |
| 1114340528 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 360 E Yosemite Ave Ste 200, Merced, CA 95340-8201 | 2014-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.