Provider Demographics
NPI:1831393115
Name:DEROHANIAN, ADRINEH - (MSW)
Entity type:Individual
Prefix:MRS
First Name:ADRINEH
Middle Name:-
Last Name:DEROHANIAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 N VERDUGO RD
Mailing Address - Street 2:10
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-2971
Mailing Address - Country:US
Mailing Address - Phone:818-956-5020
Mailing Address - Fax:
Practice Address - Street 1:3701 WILSHIRE BLVD
Practice Address - Street 2:9 TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2804
Practice Address - Country:US
Practice Address - Phone:213-637-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA216401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical