Provider Demographics
NPI:1194859652
Name:ZEYNALYAN, MARGARIT (LAC)
Entity Type:Individual
Prefix:
First Name:MARGARIT
Middle Name:
Last Name:ZEYNALYAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 S ADAMS ST APT 1
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-5214
Mailing Address - Country:US
Mailing Address - Phone:818-547-9577
Mailing Address - Fax:
Practice Address - Street 1:520 E BROADWAY STE 302
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4943
Practice Address - Country:US
Practice Address - Phone:818-247-3118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 9714171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist