Provider Demographics
NPI:1437034030
Name:BARTAMIAN, TIFFANY VICTORIA
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:VICTORIA
Last Name:BARTAMIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2847 CANADA BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-2052
Mailing Address - Country:US
Mailing Address - Phone:818-468-4717
Mailing Address - Fax:
Practice Address - Street 1:5359 BALBOA BLVD STE A
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2834
Practice Address - Country:US
Practice Address - Phone:310-237-0877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA308437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist