PERLA KELENJIAN NPI 1235855339

NPI Information

NPI: 1235855339
Provider Name: PERLA KELENJIAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4950 SAN BERNARDINO ST STE 218
MONTCLAIR, CA
ZIP 91763
Phone: (909) 624-8019
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Perla Kelenjian is a family nurse practitioner in Montclair, CA. Perla Kelenjian NPI is 1235855339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4950 SAN BERNARDINO ST STE 218
MONTCLAIR, CA
ZIP 91763-328
Phone: (909) 624-8019

The enumeration date for this NPI number is 10/19/2022 and was last updated on 10/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95020738	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1985	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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