Individual provider Active NPI

Azniv Kolyan

  • Specialist
  • Glendale, CA
National Provider Identifier
1396504973
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
435 Arden Ave Ste 560
Glendale, CA 91203-1142
Phone
(747) 272-7039
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA Primary

Addresses

Primary practice location

435 Arden Ave Ste 560
Glendale, CA 91203-1142

Mailing address

435 Arden Ave Ste 560
Glendale, CA 91203-1142
Phone (747) 272-7039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Electrolysis by Ak, Inc Specialist Current Accepting new patients

Locations

435 Arden Ave
Ste 560
Glendale, CA 91203
Phone (818) 240-9041

801 S Chevy Chase Dr
Ste 100
Glendale, CA 91205
Phone (310) 933-9779

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1396504973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 560",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031142",
            "telephone_number": "747-272-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 560",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031142",
            "telephone_number": "747-272-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLYAN",
        "first_name": "AZNIV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 3, 2024; 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.