Organization Active NPI

Irina Chilian MD Inc

  • Neurology Physician
  • Glendale, CA
National Provider Identifier
1336330471
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A69808 Issued in CA
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

Updated by the provider on Oct 12, 2007

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A698080MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.