Provider Information for 1770611279
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Mrs. ISABELLA SARKISSIAN-OURKHAN m.a.
Sex: Female
NPI: 1770611279
Last Updated: 2014-01-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1770611279 | ||||||||||||||||
| Enumeration Date | 2007-02-28 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 6331 CARPENTER AVE N HOLLYWOOD, CA 91606-3403 United States Phone: 818-437-1476 | Fax: | ||||||||||||||||
| Primary Practice Address | 237 N CENTRAL AVE GLENDALE, CA 91203-2531 United States Phone: 818-547-9544 | Fax: | ||||||||||||||||
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