Individual provider · NPI-1

Dr. Hrayr G Basmajian, M.D., M.S.

Orthopaedic Surgery, Orthopaedic Trauma · Pomona, CA

NPI number1982854626
StatusActive
Last updated in NPPESJan 2, 2020

Details

NPI
1982854626
Entity type
Individual (NPI-1)
Name
Dr. Hrayr G Basmajian
Credential
M.D., M.S.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 30, 2008
Certification date
Jan 2, 2020
Last updated
Jan 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0801X Orthopaedic Surgery, Orthopaedic TraumaA105584CAYes
207X00000X Orthopaedic Surgery44249AZ

Practice location

160 E Artesia St Ste 255
Pomona, CA 91767-2921

Phone 909-596-4346 · Fax 909-596-4344

Mailing address

160 E Artesia St Ste 255
Pomona, CA 91767-2921

Phone 909-596-4346 · Fax 909-596-4344

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