Individual provider · Type 1 NPI
Grigor Sukiassyan
Family Nurse Practitioner · Los Angeles, CA
NPI number
1073105060
Active
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NPF95016530 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1073105060
Grigor Sukiassyan's National Provider Identifier is 1073105060, issued on Feb 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 10, 2021.