Provider Demographics
NPI:1629133236
Name:NOUNE PASHINIAN MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:NOUNE PASHINIAN MD A PROFESSIONAL CORPORATION
Other - Org Name:VERDUGO RHEUMATOLOGY MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:NOUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASHINIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-243-1187
Mailing Address - Street 1:435 ARDEN AVE
Mailing Address - Street 2:#510
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1137
Mailing Address - Country:US
Mailing Address - Phone:818-243-1187
Mailing Address - Fax:818-243-6182
Practice Address - Street 1:435 ARDEN AVE
Practice Address - Street 2:#510
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1137
Practice Address - Country:US
Practice Address - Phone:818-243-1187
Practice Address - Fax:818-243-6182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA056473207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A564731OtherMEDICAL
CA00A564731OtherMEDICAL
W18405Medicare ID - Type Unspecified
G85325Medicare UPIN