Alen Tadevosyan, RAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T1004070820 Issued in CA

Practice address

1020 N Hollywood Way Ste 13
Burbank, CA 91505-2525

Phone

(818) 929-5757

Fax

(818) 929-5757

NPI assigned

Jun 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1356635700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N LINCOLN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042628",
            "telephone_number": "818-929-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N HOLLYWOOD WAY STE 13",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052525",
            "telephone_number": "818-929-5757",
            "fax_number": "818-929-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEVOSYAN",
        "first_name": "ALEN",
        "credential": "RAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "T1004070820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farnoosh Tabesh, D.D.S
• Anderson Tablas
• George S. Tabor, M.D.
• Hermela Tadele
• Jose Tadeo Torres
• Tigranuhi Tina Tadevosyan
• Maureen Cruz Tadle-Perez, PT,CNS
• Taguhi Tagakchyan, PHARMD
• Gail Taira
• Denise Takahashi, PHARM.D., L.AC.

• Addiction (Substance Use Disorder) Counselor in Burbank, CA
• Providers in Burbank, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.