Provider Demographics
NPI:1013529585
Name:GALSTYAN, LILIT
Entity Type:Individual
Prefix:
First Name:LILIT
Middle Name:
Last Name:GALSTYAN
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 1:13601 VOSE ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3421
Mailing Address - Country:US
Mailing Address - Phone:818-631-6666
Mailing Address - Fax:
Practice Address - Street 1:13601 VOSE ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-3421
Practice Address - Country:US
Practice Address - Phone:818-631-6666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program