Provider Demographics
NPI:1881220549
Name:KAZARYAN, NAZIK
Entity Type:Individual
Prefix:
First Name:NAZIK
Middle Name:
Last Name:KAZARYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 COLORADO BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2373
Mailing Address - Country:US
Mailing Address - Phone:323-747-1072
Mailing Address - Fax:
Practice Address - Street 1:1480 COLORADO BLVD STE 135
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-2373
Practice Address - Country:US
Practice Address - Phone:323-747-1072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance