Provider Demographics
NPI:1811949977
Name:DANIELIAN, ELIANORA (ARDMS)
Entity type:Individual
Prefix:MRS
First Name:ELIANORA
Middle Name:
Last Name:DANIELIAN
Suffix:
Gender:F
Credentials:ARDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N BRAND BLVD
Mailing Address - Street 2:B100
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4427
Mailing Address - Country:US
Mailing Address - Phone:818-502-0080
Mailing Address - Fax:818-502-0090
Practice Address - Street 1:401 N BRAND BLVD
Practice Address - Street 2:B100
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4427
Practice Address - Country:US
Practice Address - Phone:818-502-0080
Practice Address - Fax:818-502-0090
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATG2942471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG294Medicare ID - Type Unspecified