Lucy Vardapetyan
Lucy Vardapetyan is a Physician Assistant in North Hollywood, California. Qualified in 2020, 6 years ago. Practices with Shine Mmg Inc, a 25-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
7763 Rhodes AveNorth Hollywood, CA 91605-2350
Phone: (818) 939-8545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (CA) |
|---|
Record details
| NPI number | 1164018966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 15, 2020 |
| Last updated in NPPES | December 15, 2020 |
| Certification date | December 15, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Shine Mmg Inc — 25 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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