Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | A50782 | CA |
NPI | 1033270293 |
---|---|
Provider Name | Dr. Azniv A Abrahamian |
First Address | North Hollywood, CA 91606-3135 |
Second Address | North Hollywood, CA 91606-3135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F43111 | (02) | CA |