Provider Demographics
NPI:1174287759
Name:PIRJANIAN, GEGHART (RN)
Entity type:Individual
Prefix:
First Name:GEGHART
Middle Name:
Last Name:PIRJANIAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CONCORD ST APT 106
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1583
Mailing Address - Country:US
Mailing Address - Phone:818-590-0287
Mailing Address - Fax:
Practice Address - Street 1:516 CONCORD ST APT 106
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1583
Practice Address - Country:US
Practice Address - Phone:818-590-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95247046163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse