Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A171399 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A171399 | CA |
NPI | 1013370410 |
---|---|
Provider Name | Dr. Torgom Abraamyan |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Van Nuys, CA 91405-3796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2016 |
Last Update Date | 03/08/2021 |