Provider Demographics
NPI:1922749381
Name:HOOSEPIAN-MER, PAULINE ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:ANDREA
Last Name:HOOSEPIAN-MER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 E TUJUNGA AVE APT D
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2284
Mailing Address - Country:US
Mailing Address - Phone:818-859-0153
Mailing Address - Fax:
Practice Address - Street 1:8700 BEVERLY BLVD # LL
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:800-233-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program