Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A119206 | CA |
N | 111NI0900X | Internist | A119206 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | A119206 | CA |
NPI | 1326309055 |
---|---|
Provider Name | Garo Z Harmandayan |
First Address | Los Angeles, CA 90048 |
Second Address | West Hollywood, CA 90048-1804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 01/04/2016 |