Marine Azaran, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 291406 Issued in CA

Practice address

4940 Van Nuys Blvd
Ste 301
Sherman Oaks, CA 91403-1700

Phone

(818) 907-0952

NPI assigned

Feb 21, 2017

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1821537986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 VENTURA BLVD",
            "address_2": "STE C564",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362522",
            "telephone_number": "818-907-0952",
            "fax_number": "818-990-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD",
            "address_2": "STE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-907-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZARAN",
        "first_name": "MARINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 291406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avramed Homehealth Care, Inc.
• Jacqueline Ayala
• Aykanush Sungulyan OD a Professional Corporation
• Ayleen R. Peterson DDS, Inc.
• Azadeh Rahimi, PH.D. Psychology Inc.
• Mahnaz Azimzadeh, D.C
• Melissa Azurdia
• B.S.N. Eghbalieh Medical Corporation
• Ba Imaging Group
• Babayans Chiropractic Corporation

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.