MENIJE BODURYAN PSY.D. NPI 1386874790

NPI Information

NPI: 1386874790
Provider Name: MENIJE BODURYAN, PSY.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4505 LAS VIRGENES RD
SUITE 205
CALABASAS, CA
ZIP 91302
Phone: (818) 575-6148
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Menije Boduryan, PSY.D. is a mental health counselor in Calabasas, CA. Menije Boduryan, PSY.D. NPI is 1386874790. 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:

4505 LAS VIRGENES RD
SUITE 205
CALABASAS, CA
ZIP 91302-956
Phone: (818) 575-6148

The enumeration date for this NPI number is 7/20/2009 and was last updated on 3/23/2016.

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	101YM0800X	Counselor	Mental Health	26351	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	7068	MEDICAID	CALIFORNIA
2	7420	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: 4/28/2024

NPI Synchronization or Removal

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