Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A124941 | CA |
N | 207VE0102X | Reproductive Endocrinologist | A124941 | CA |
NPI | 1427315522 |
---|---|
Provider Name | Lusine Aghajanova |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2012 |
Last Update Date | 22/08/2017 |