Laurel Grove Medical Center Inc

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

LAUREL GROVE MEDICAL CENTER INC

Practice address

5437 Laurel Canyon Blvd Ste 107
Valley Village, CA 91607-4615

Phone

(747) 204-8884

Fax

(213) 481-9944

NPI assigned

Aug 27, 2019

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Narek OganyanNPI 1912380114

Title

Manager

Phone

(747) 204-8884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nune Hasmik Hovanisyan, FNP

  • Family Nurse Practitioner
  • Pasadena, CA
  • NPI 1821629684
  Medicare reassignment NPD
• Lilit Yegiazaryan, M.D.

  • Psychiatry Physician
  • Glendale, CA
  • NPI 1770668345
  Medicare reassignment NPD
• Narek Oganyan

  • Counselor
  • Los Angeles, CA
  • NPI 1912380114
  NPD Authorized official
• Arsho Siroun Salazar, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, CA
  • NPI 1194298109
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1619525250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 LAUREL CANYON BLVD STE 107",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 LAUREL CANYON BLVD STE 107",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074615",
            "telephone_number": "747-204-8884",
            "fax_number": "213-481-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL GROVE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "OGANYAN",
        "authorized_official_first_name": "NAREK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "747-204-8884"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kwon, LMFT
• Carlos Manuel Laack, LMFT
• Andrew Lawrence Lande, LMFT
• Gilian Neiditch Lata, LAC, DIPL OM
• Laurel Canyon Retirement Community, Inc
• Paige Elaine Lauren-Taylor, AMFT
• Allison Lazar, BCBA
• Sharona C Lazar, RD
• Ellen Lazares, L.AC.
• Evan Le

• Behavioral Neurology & Neuropsychiatry Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.