Provider Demographics
NPI:1598160376
Name:YERMIAN, NARBEH
Entity Type:Individual
Prefix:
First Name:NARBEH
Middle Name:
Last Name:YERMIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 SANTA CARLOTTA ST
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2022
Mailing Address - Country:US
Mailing Address - Phone:818-389-8997
Mailing Address - Fax:
Practice Address - Street 1:2944 SANTA CARLOTTA ST
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-2022
Practice Address - Country:US
Practice Address - Phone:818-389-8997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41720225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist