Provider Demographics
NPI:1699389528
Name:BROUTIAN, TSOGUIK (EDD)
Entity Type:Individual
Prefix:DR
First Name:TSOGUIK
Middle Name:
Last Name:BROUTIAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KERN COUNTY SUPERINTENDENT OF SCHOOLS
Mailing Address - Street 2:1300 17TH ST.
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301
Mailing Address - Country:US
Mailing Address - Phone:661-852-5663
Mailing Address - Fax:
Practice Address - Street 1:KERN COUNTY SUPERINTENDENT OF SCHOOLS
Practice Address - Street 2:1300 17TH ST.
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301
Practice Address - Country:US
Practice Address - Phone:661-852-5663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator