| Not Applicable | |
|
816 N Hollywood Way Burbank CA 91505-2831 | |
| (818) 216-4828 | |
| Not Available |
| Full Name | Not Applicable |
|---|---|
| Speciality | General Practice |
| Location | 816 N Hollywood Way, Burbank, California |
| Authorized Official Name and Position | Jasmine Petrosyan (CEO) |
| Authorized Official Contact | 8182164828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Not Applicable 816 N Hollywood Way Burbank CA 91505-2831 Ph: (818) 216-4828 | Not Applicable 816 N Hollywood Way Burbank CA 91505-2831 Ph: (818) 216-4828 |
| NPI Number | 1962115733 |
|---|---|
| Provider Enumeration Date | 12/26/2022 |
| Last Update Date | 10/24/2025 |
| Certification Date | 10/24/2025 |
| Medicare PECOS PAC ID | 2466812540 |
|---|---|
| Medicare Enrollment ID | O20230720003284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962115733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jasmine H Petrosyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558717314 PECOS PAC ID: 0244531283 Enrollment ID: I20160628000836 |
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