Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A97060 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A97060 | CA |
N | 2086X0206X | Surgical Oncologist | A97060 | CA |
NPI | 1215183066 |
---|---|
Provider Name | Dr. Anna Andranik Kulidjian |
First Address | San Diego, CA 92127-5705 |
Second Address | La Jolla, CA 92037-1035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2008 |
Last Update Date | 05/12/2019 |