Individual provider · NPI-1

Nazaret Balamutyan, RVT

Radiologic Technologist, Vascular Sonography · Los Angeles, CA

NPI number1598003154
StatusActive
Last updated in NPPESJan 16, 2013

Details

NPI
1598003154
Entity type
Individual (NPI-1)
Name
Nazaret Balamutyan
Credential
RVT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 16, 2013
Last updated
Jan 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471V0105X Radiologic Technologist, Vascular Sonography129019CAYes

Practice location

5300 Santa Monica Blvd Ste 200
Los Angeles, CA 90029-1258

Phone 323-461-5882

Mailing address

1339 N Sycamore Ave Apt 102
Los Angeles, CA 90028-7557

Phone 323-839-5523

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