| Edward Agazaryan, OTR/L | |
|
7300 Medical Center Dr, West Hills, CA 91307-1902 | |
| (818) 676-4000 | |
| Not Available |
| Full Name | Edward Agazaryan |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 7300 Medical Center Dr, West Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851819577 | NPI | - | NPPES |
| 20510 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 20510 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Agazaryan, OTR/L 1540 Alcazar St Ste 133, Los Angeles, CA 90089-0080 Ph: () - | Edward Agazaryan, OTR/L 7300 Medical Center Dr, West Hills, CA 91307-1902 Ph: (818) 676-4000 |
Ms. Patricia Verda Petersen, MA, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23409 Gilmore St, West Hills, CA 91307 Phone: 818-346-8626 | |
Monica Lynn Guy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22110 Roscoe Blvd Ste 302, West Hills, CA 91304 Phone: 818-347-7110 | |
Daniela Flores, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22763 Gault St, West Hills, CA 91307 Phone: 818-276-5154 | |
Lorna David, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7045 Sale Avenue, West Hills, CA 91307 Phone: 818-324-6374 | |
John Williams, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 22110 Roscoe Blvd Ste 302, West Hills, CA 91304 Phone: 818-347-7110 | |
Sierra Katherine Williams, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7300 Medical Center Dr, West Hills, CA 91307 Phone: 818-676-4000 | |
Sarah Gainaru, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8445 Capistrano Ave, West Hills, CA 91304 Phone: 626-500-8305 |