Provider Demographics
NPI:1922767268
Name:ANNA LAFIAN DO INC
Entity Type:Organization
Organization Name:ANNA LAFIAN DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-790-9043
Mailing Address - Street 1:2416 SYLVAN LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-2335
Mailing Address - Country:US
Mailing Address - Phone:626-790-9043
Mailing Address - Fax:
Practice Address - Street 1:1505 WILSON TER STE 315
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4077
Practice Address - Country:US
Practice Address - Phone:626-790-9043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty