NPI 1104248400

Sirak Minasyan

Practitioner Physical Disabilities Residential Treatment Facility Reseda, CA

Practice location

Address: 6840 Nestle Ave, Reseda, CA 91335-4542
Phone: (747) 222-9222
Fax: (559) 435-9990

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in California →

Registry record

NPI: 1104248400
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jan 2014
Record last updated: 6 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.