Dr Mariam Vasilyevna Balasanyan, PSYD is a
Counselor based in Los Angeles, California. Dr Mariam Vasilyevna Balasanyan is licensed to practice in * (Not Available) (license number ) and her current practice location is
600 St Paul Ave, Suite 200, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 482-6400.
NPI number for Dr Mariam Vasilyevna Balasanyan is 1720457682 and her current mailing address is 600 St Paul Ave, Suite 200, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720457682.
Healthcare Provider's Profile
| Full Name | Dr Mariam Vasilyevna Balasanyan |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 600 St Paul Ave, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1720457682
- Provider Enumeration Date: 09/22/2015
- Last Update Date: 11/16/2015
Medical Identifiers
Medical identifiers for Dr Mariam Vasilyevna Balasanyan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720457682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mariam Vasilyevna Balasanyan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mariam Vasilyevna Balasanyan, PSYD
600 St Paul Ave, Suite 200,
Los Angeles, CA 90017-2038
Ph: (213) 482-6400 | Dr Mariam Vasilyevna Balasanyan, PSYD
600 St Paul Ave, Suite 200,
Los Angeles, CA 90017-2038
Ph: (213) 482-6400 |
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