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SHANT DERAVANESIAN
NPI 1538569041
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 03, 2014
470 E 3RD ST STE C, LOS ANGELES, CA 90013(213) 620-5712(213) 621-4155 Get Directions Write a Review

NPPES record last updated: September 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shant Deravanesian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANT DERAVANESIAN (NPI 1538569041) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1538569041
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHANT DERAVANESIAN
Location Address470 E 3RD ST STE CLos Angeles, CA 90013-1630
Mailing Address470 E 3rd St Ste CLos Angeles, CA 90013-1630 · (213) 620-5712 · Fax (213) 621-4155
Phone(213) 620-5712
Fax(213) 621-4155
Sole ProprietorNo
Enumeration DateSeptember 3, 2014
✔ NPI 1538569041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

470 E 3RD ST STE C, Los Angeles, CA 90013
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTY E STILLWELL
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MR. ANTHONY T FIKES
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MISS HAYLEY L SCHLEIFSTEIN
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MISS MELANIE I NEWSON
Case Manager/Care Coordinator
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MS. MOLLY ANN MURPHY
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MS. DONNA K OZAWA OTS
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
EMILY ROSE HALL
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
EMILY H BELL LCSW
Social Worker (Clinical)
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 500-6803

Frequently Asked Questions

What is Shant Deravanesian's NPI number?

The NPI number assigned to this healthcare provider is 1538569041, enumerated as an "individual" on September 03, 2014.

Where is the provider located?

The provider is located at 470 E 3RD ST STE C LOS ANGELES, CA 90013 and the phone number is (213) 620-5712.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.