Gohar Ayvazyan, PA-C
Physician Assistant in Beverly Hills, CA. Individual provider (NPI-1).
NPI number1578820122
StatusActive
Last updated in NPPESDec 9, 2015
Details
- NPI
- 1578820122
- Entity type
- Individual (NPI-1)
- Name
- Gohar Ayvazyan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2012
- Last updated
- Dec 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA22097 | CA | Yes |
Practice location
435 N Bedford Dr Ste 312Beverly Hills, CA 90210-4314
Phone 310-858-5090 · Fax 310-276-5508
Mailing address
435 N Bedford Dr Ste 212Beverly Hills, CA 90210-4321
Phone 310-858-5090 · Fax 310-888-0015
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