Provider Demographics
NPI:1437472271
Name:OGHOUBIAN, CELINE ANNETTE
Entity Type:Individual
Prefix:MISS
First Name:CELINE
Middle Name:ANNETTE
Last Name:OGHOUBIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3834
Mailing Address - Country:US
Mailing Address - Phone:818-216-5007
Mailing Address - Fax:
Practice Address - Street 1:2905 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3834
Practice Address - Country:US
Practice Address - Phone:818-216-5007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101Y00000XBehavioral Health & Social Service ProvidersCounselor