Provider Demographics
NPI:1730988270
Name:BOYADJIAN, ANI
Entity type:Individual
Prefix:
First Name:ANI
Middle Name:
Last Name:BOYADJIAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ARDEN AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1159
Mailing Address - Country:US
Mailing Address - Phone:818-434-5120
Mailing Address - Fax:818-434-5120
Practice Address - Street 1:315 ARDEN AVE STE 14
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1159
Practice Address - Country:US
Practice Address - Phone:818-434-5120
Practice Address - Fax:818-434-5120
Is Sole Proprietor?:No
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79732355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant