| Tigranuhi Tina Tadevosyan, | |
|
1821 N Lima St, Burbank, CA 91505-1527 | |
| (818) 726-2883 | |
| Not Available |
| Full Name | Tigranuhi Tina Tadevosyan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1821 N Lima St, Burbank, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750152211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95027399 (California) | Primary |
| Entity Name | Mobile Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487169660 PECOS PAC ID: 8224397963 Enrollment ID: O20180125002042 |
| Entity Name | Access Alliance Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629534045 PECOS PAC ID: 3577804145 Enrollment ID: O20190409000031 |
| Entity Name | Shine Mmg Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053930248 PECOS PAC ID: 6103257282 Enrollment ID: O20200505000514 |
| Entity Name | California Mobile Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588439061 PECOS PAC ID: 7719330091 Enrollment ID: O20240202001837 |
| Mailing Address | Practice Location Address |
|---|---|
| Tigranuhi Tina Tadevosyan, 1821 N Lima St, Burbank, CA 91505-1527 Ph: (818) 726-2883 | Tigranuhi Tina Tadevosyan, 1821 N Lima St, Burbank, CA 91505-1527 Ph: (818) 726-2883 |
Anasheh Avanes, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1130 W Olive Ave, Burbank, CA 91506 Phone: 747-477-1411 | |
Choucokri Patrice Ward, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2501 W Burbank Blvd Ste 200, Burbank, CA 91505 Phone: 818-979-0593 | |
Jennifer S Lee, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 S Buena Vista St Ste 325, Burbank, CA 91505 Phone: 818-842-7145 | |
Lynn Adora Lima, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Minute Clinic 9795 Burbank, 511 N Hollywood Way, Burbank, CA 91505 Phone: 818-841-0710 | |
Maria Stepanyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 Cornell Dr, Burbank, CA 91504 Phone: 818-922-4040 | |
Jessica Cuesta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 W Olive Ave, Burbank, CA 91502 Phone: 818-848-5561 | |
Magden M Amirian, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1021 E Harvard Rd, Burbank, CA 91501 Phone: 818-726-5686 |