EPIC AESTHETIC MEDICAL INSTITUTE INC. (NPI# 1962702167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962702167 |
| Entity Type | Organization |
| Organization Name | EPIC AESTHETIC MEDICAL INSTITUTE INC. |
| Practice Address |
11349 Saticoy St Sun Valley CA 91352-4700 |
| Mailing Address |
16661 Ventura Blvd Suite 815 Encino CA 91436-1914 |
| Practice Telephone | 8189825750 |
| Practice Fax Number | 8189829146 |
| Mailing Telephone | 8185013366 |
| Mailing Fax Number | 8189067961 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2014-05-16 |
| Authorized Official Name | DR. JASMIN JAVAHERIAN (OWNER) |
| Authorized Official Telephone | 8185013366 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A8083 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11349 SATICOY ST |
| City | SUN VALLEY |
| State | CA |
| Zip Code | 91352-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457908618 | The Teen Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8142 Sunland Blvd., Sun Valley, CA 91352 | 2019-08-22 |
| 1831638717 | Sonia Canton | Counselor | 8140 Sunland Blvd., Sun Valley, CA 91352 | 2017-02-13 |
| 1023480613 | Hhs Homecare, Inc | Home Health | 10875 La Tuna Canyon Rd, Sun Valley, CA 91352 | 2015-10-22 |
| 1407259724 | Irina Yerkanyan | Driver | 8258 Sunland Blvd, Sun Valley, CA 91352 | 2014-09-30 |
| 1013199264 | Northeast Valley Health Corporation | Clinic/Center | 7223 N. Fair Avenue, Sun Valley, CA 91352 | 2007-11-29 |
| 1528117413 | Kerri Davidove Lee | Optometrist | 8447 Laurel Canyon Blvd, Sun Valley, CA 91352 | 2007-01-09 |
| 1043394513 | Emma P Aralar | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8983 Telfair Avenue, Sun Valley, CA 91352 | 2006-10-24 |
| 1861402935 | Pacifica of The Valley Corporation | General Acute Care Hospital | 9449 San Fernando Road, Sun Valley, CA 91352 | 2006-08-09 |
| 1003415142 | Michelle Marie Villarreal | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| 1891394946 | Sharon Stasha Kukkiriza | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| Find all providers in zip 91352 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225163991 | Lelys Campos | General Practice | 8809 Sunland Blvd, Sun Valley, CA 91352-2841 | 2007-02-22 |
| 1497783773 | Rong Yang | General Practice | 2650 Jones Way Suite 24, Sun Valley, CA 93065 | 2006-06-28 |
| 1144557729 | Sport Central Osteopathic, A Medical Corporation | General Practice | 8879 Laurel Canyon Blvd, Suite C, Sun Valley, CA 91352-2959 | 2009-11-03 |
| 1578599411 | Arnold Jacobs | General Practice | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2006-06-23 |
| 1154366730 | Liana Volpe | General Practice | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2006-06-18 |
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|---|---|---|---|---|
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | SUN VALLEY |
| Zip Code | 91352 |
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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.