Organization · NPI-2
Anna Ghazanchyan
Spec/Tech, Cardiovascular, Vascular Specialist · Glendale, CA
NPI number1679703847
StatusActive
Last updated in NPPESNov 28, 2012
Details
- NPI
- 1679703847
- Entity type
- Organization (NPI-2)
- Legal business name
- Anna Ghazanchyan
- Organization subpart
- No
- Enumeration date
- Jul 21, 2009
- Last updated
- Nov 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246XC2903X | Spec/Tech, Cardiovascular, Vascular Specialist | – | – | Yes |
| 171R00000X | Interpreter | – | – | |
| 174400000X | Specialist | – | – | |
| 246X00000X | Spec/Tech, Cardiovascular | – | – |
Other names
- Modern Imaging (Doing Business As)
Practice location
801 S Chevy Chase Dr# 60
Glendale, CA 91205-4431
Phone 818-240-7744 · Fax 818-240-7755
Mailing address
801 S Chevy Chase Dr# 60
Glendale, CA 91205-4431
Phone 818-240-7744 · Fax 818-240-7755
Authorized official
Anna Ghazanchyan
Owner
8182407744
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