Provider Demographics
NPI:1639275993
Name:PARTAMIAN, LEON NOUBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:LEON
Middle Name:NOUBAR
Last Name:PARTAMIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W. ALAMEDA AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4812
Mailing Address - Country:US
Mailing Address - Phone:818-556-5056
Mailing Address - Fax:818-556-5156
Practice Address - Street 1:2601 W. ALAMEDA AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4612
Practice Address - Country:US
Practice Address - Phone:818-556-5056
Practice Address - Fax:818-556-5156
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA 48491207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA 48491Medicare ID - Type UnspecifiedMEDICARE-ALSO LICENSE-#
CAF03285Medicare UPIN