Provider Demographics
NPI:1578268314
Name:VARTOMIAN, ARPENIK (NUTRITIONIST)
Entity Type:Individual
Prefix:
First Name:ARPENIK
Middle Name:
Last Name:VARTOMIAN
Suffix:
Gender:F
Credentials:NUTRITIONIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2058 CHILTON DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1170
Mailing Address - Country:US
Mailing Address - Phone:818-331-8791
Mailing Address - Fax:
Practice Address - Street 1:2058 CHILTON DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1170
Practice Address - Country:US
Practice Address - Phone:818-331-8791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist