Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 236040 | CA |
NPI | 1093375016 |
---|---|
Provider Name | Lilit Baldjyan Sarkissian |
First Address | Granada Hills, CA 91344-1435 |
Second Address | Granada Hills, CA 91344-1435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2019 |
Last Update Date | 20/06/2019 |