Provider Demographics
NPI:1336031152
Name:MIRZAKHANIAN, TALIN (DACCHM, LAC)
Entity type:Individual
Prefix:DR
First Name:TALIN
Middle Name:
Last Name:MIRZAKHANIAN
Suffix:
Gender:F
Credentials:DACCHM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 ROSITA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-2819
Mailing Address - Country:US
Mailing Address - Phone:818-383-5159
Mailing Address - Fax:
Practice Address - Street 1:442 W BROADWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1209
Practice Address - Country:US
Practice Address - Phone:818-643-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19645171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist