Provider Demographics
NPI:1003498718
Name:YERMIAN, NARINEH MARIAM (DO)
Entity type:Individual
Prefix:
First Name:NARINEH
Middle Name:MARIAM
Last Name:YERMIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 ALTURA AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-3603
Mailing Address - Country:US
Mailing Address - Phone:818-568-5738
Mailing Address - Fax:
Practice Address - Street 1:214 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3556
Practice Address - Country:US
Practice Address - Phone:818-246-8000
Practice Address - Fax:951-486-5910
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-22
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine