Provider Demographics
NPI:1477949618
Name:SHIRVANIAN, CIARA L (MD)
Entity Type:Individual
Prefix:DR
First Name:CIARA
Middle Name:L
Last Name:SHIRVANIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CIARA
Other - Middle Name:ARMENA
Other - Last Name:LIBARIDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9602
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91346-9602
Mailing Address - Country:US
Mailing Address - Phone:818-837-5559
Mailing Address - Fax:818-792-4793
Practice Address - Street 1:191 S. BUENA VISTA STREET
Practice Address - Street 2:SUITE #100
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4554
Practice Address - Country:US
Practice Address - Phone:818-869-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151894207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine