Harutyunyan, Lusine
Harutyunyan, Lusine is an individual health care provider with primary practice located at 1808 Verdugo Blvd Ste 414 , Glendale CA 91208-1474. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Harutyunyan, Lusine can be contacted via phone (818) 265-5400.Contact Information
Primary practice address
1808 Verdugo Blvd Ste 414
Glendale CA 91208-1474
Phone: (818) 265-5400
Fax: (818) 265-5445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 18776 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA 18776 | California |
Profile Details
| NPI number | 1528270303 |
|---|---|
| LBN Legal business name | Harutyunyan, Lusine |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Nov 17th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528270303 | NPPES |
| California | Other | PA 18776 | STATE LICENSE |
| California | Other | 18776 | STATE LICENSE |
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