Active NPI
Irina Chilian MD Inc
- Neurology Physician
- Glendale, CA
National Provider Identifier
1336330471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A69808
- Legal business name
- IRINA CHILIAN MD INC
- Practice address
- 540 N Central Ave
Suite# 302
Glendale, CA 91203-1916 - Phone
- (818) 247-2660
- Fax
- (818) 244-9946
- NPI assigned
- Aug 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irina Chilian, MD
- Title
- President
- Phone
- (818) 247-2660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A69808 | CA | Primary |
Addresses
Primary practice location
540 N Central Ave
Suite# 302
Glendale, CA 91203-1916
Mailing address
2870 Los Feliz PL
PMB# 67
Los Angeles, CA 90039-1633
Phone (818) 247-2660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A698080 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2890 Los Feliz PL
Los Angeles, CA 90039
2870 Los Feliz Pl
Los Angeles, CA 90039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1336330471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2870 LOS FELIZ PL",
"address_2": "PMB# 67",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900391633",
"telephone_number": "818-247-2660",
"fax_number": "818-244-9946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 N CENTRAL AVE",
"address_2": "SUITE# 302",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031916",
"telephone_number": "818-247-2660",
"fax_number": "818-244-9946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRINA CHILIAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-05",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "CHILIAN",
"authorized_official_first_name": "IRINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-247-2660",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A69808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A698080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.