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Contact Information

CARLY R DEVIRIAN
808 W 58TH ST
LOS ANGELES, CA90037-3632
 Phone: 323-541-1411
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARLY R DEVIRIAN · (Female)

NPI Number 1083248942
Status Active
Credentials
Entity Individual
Enumeration date 02/28/2020
Last updated 07/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95013513
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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