Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 20A18293 | CA |
NPI | 1063862290 |
---|---|
Provider Name | Dr. Dickran Vahe Altounian |
First Address | Encino, CA 91436-1824 |
Second Address | Encino, CA 91436-1824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2016 |
Last Update Date | 20/10/2021 |