Provider Demographics
NPI:1548845076
Name:TERPETROSYAN, ARMEN
Entity type:Individual
Prefix:MR
First Name:ARMEN
Middle Name:
Last Name:TERPETROSYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 N LAKE AVE UNIT 111A
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-3740
Mailing Address - Country:US
Mailing Address - Phone:818-439-0272
Mailing Address - Fax:818-939-5070
Practice Address - Street 1:1175 N LAKE AVE UNIT 111A
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-3740
Practice Address - Country:US
Practice Address - Phone:818-439-0272
Practice Address - Fax:818-939-5070
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health