Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A145823 | CA |
N | 111NI0900X | Internist | A145823 | CA |
Y | 207RC0200X | Critical Care Medicine | A145823 | CA |
N | 207RP1001X | Pulmonary Disease | A145823 | CA |
NPI | 1063785756 |
---|---|
Provider Name | Zeron Ghazarian |
First Address | Riverside, CA 92505 |
Second Address | Riverside, CA 92505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2012 |
Last Update Date | 18/03/2021 |