Basic Information
| Provider Information | |||||||||
| NPI: | 1659560431 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIROUNIAN | ||||||||
| FirstName: | ARMAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1224 VINE ST | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900381612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3237696154 | ||||||||
| FaxNumber: | 3234670297 | ||||||||
| Practice Location | |||||||||
| Address1: | 1224 N. VINE ST. | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900381612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3237696154 | ||||||||
| FaxNumber: | 3234670297 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/17/2007 | ||||||||
| LastUpdateDate: | 11/04/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 64386 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.