Organization · NPI-2

Garabed Nishanian, M.D., A Medical Corporation

· Mission Viejo, CA

NPI number1841557576
StatusActive
Last updated in NPPESApr 19, 2012

Details

NPI
1841557576
Entity type
Organization (NPI-2)
Legal business name
Garabed Nishanian, M.D., A Medical Corporation
Organization subpart
No
Enumeration date
Apr 19, 2012
Last updated
Apr 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X A52537CAYes

Practice location

26800 Crown Valley Pkwy Ste 420
Mission Viejo, CA 92691-8023

Phone 949-429-8840 · Fax 949-347-9647

Mailing address

4740 Los Feliz Blvd
Los Angeles, CA 90027-1918

Phone 949-429-8840 · Fax 949-347-9647

Authorized official

Garabed Nishanian
Owner/President
9494298840

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