Provider Demographics
NPI:1336993799
Name:KAZARIAN, MARIKA (NP)
Entity Type:Individual
Prefix:
First Name:MARIKA
Middle Name:
Last Name:KAZARIAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15155 SHERMAN WAY UNIT 51
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2083
Mailing Address - Country:US
Mailing Address - Phone:818-464-6416
Mailing Address - Fax:
Practice Address - Street 1:15155 SHERMAN WAY UNIT 51
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2083
Practice Address - Country:US
Practice Address - Phone:818-464-6416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95026210363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care