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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE MINASSIAN

Active Sole Proprietor

Skilled Nursing Facility · GLENDALE, CA

Registration Details

NPI Number
1952182180
Provider Type
Individual
Gender
Male
NPI Issued
Oct 12, 2023 (2.5241620561677 yrs)
Last Updated
Jan 29, 2025
Sole Proprietor
Yes

Practice Information

Address
PO BOX 3582
GLENDALE, CA, 912213582
Browse CA providers · Browse ZIP 91221
Phone
3238187018
Primary Specialty
Skilled Nursing Facility
314000000X
Additional Specialty
Hospice, Inpatient
Additional Specialty
Skilled Nursing Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.