Provider Demographics
NPI:1508232505
Name:ARUTYUNYAN, ASHKHEN ANI
Entity Type:Individual
Prefix:MS
First Name:ASHKHEN
Middle Name:ANI
Last Name:ARUTYUNYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ASHKHEN
Other - Middle Name:ANI
Other - Last Name:ARUTYUNYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1221 SEWARD ST APT 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90038-1338
Mailing Address - Country:US
Mailing Address - Phone:323-465-1700
Mailing Address - Fax:
Practice Address - Street 1:1221 SEWARD ST APT 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90038-1338
Practice Address - Country:US
Practice Address - Phone:323-465-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner