Alen Mirzaian, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A88445 Issued in CA

Legal business name

ALEN MIRZAIAN, MD INC

Practice address

1818 Verdugo Blvd Ste 401
Glendale, CA 91208-1421

Phone

(818) 790-1145

Fax

(818) 790-6387

NPI assigned

Dec 1, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alen Mirzaian, MDNPI 1043209554

Title

MD/President

Phone

(818) 790-1145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alen Mirzaian, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1043209554
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1255669362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 VERDUGO BLVD # 24",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201628",
            "telephone_number": "818-790-1145",
            "fax_number": "818-790-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 VERDUGO BLVD STE 401",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081421",
            "telephone_number": "818-790-1145",
            "fax_number": "818-790-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEN MIRZAIAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MIRZAIAN",
        "authorized_official_first_name": "ALEN",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "818-790-1145",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Aleksanyan, NP
• Janet Aleksanyan, R.N.
• Lusine Aleksanyan
• Edgar H Aleman, MD
• Juliet Katherine Aleman
• Alen Zehnaly, M.D., a Medical Corporation
• Alenoush Baghdasaryan,D.D.S., a Professional Dental Corporation
• Aleracare Medical Group of California, a Medical Corporation
• Aleve Hospice Care,Inc.
• Alex Nourian M.D., Inc.

• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.