Provider Demographics
NPI:1083809941
Name:CHOBANYAN, ANAHIT (MSW)
Entity Type:Individual
Prefix:MS
First Name:ANAHIT
Middle Name:
Last Name:CHOBANYAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5645 FERNWOOD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8542
Mailing Address - Country:US
Mailing Address - Phone:818-419-6929
Mailing Address - Fax:
Practice Address - Street 1:4018 CITY TERRACE DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-1242
Practice Address - Country:US
Practice Address - Phone:323-268-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical