Grigoryan, Tatevik

Grigoryan, Tatevik is an individual health care provider with primary practice located at 39159 Paseo Padre Pkwy Ste 121 , Fremont CA 94538-1600. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Grigoryan, Tatevik can be contacted via phone (510) 952-1190.

Contact Information

Primary practice address
39159 Paseo Padre Pkwy Ste 121 Fremont CA 94538-1600
Phone: (510) 952-1190
Fax: (510) 972-5976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95222787 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95028093 California

Profile Details

NPI number 1477302305
LBN Legal business name Grigoryan, Tatevik
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2024
Last updated May 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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