Provider Demographics
NPI:1073937900
Name:SABOUNJIAN-SARKISSIAN, MARAL H (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARAL
Middle Name:H
Last Name:SABOUNJIAN-SARKISSIAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1329 GREENBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1253
Mailing Address - Country:US
Mailing Address - Phone:818-606-8825
Mailing Address - Fax:
Practice Address - Street 1:1329 GREENBRIAR RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-1253
Practice Address - Country:US
Practice Address - Phone:818-606-8825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529187163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health