# ANDRE BABAJANIANS MD MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013275536
- **Authorized official:** DR. ANDRE BABAJANIANS M.D. (PRESIDENT)
- **Authorized official phone:** (562) 594-3766

## Contact information

- **Practice address:** 3801 KATELLA AVE, SUITE 321, LOS ALAMITOS, CA 90720-3338
- **Practice address phone:** (562) 594-3766
- **Practice address fax:** (562) 493-4529
- **Mailing address:** 3801 KATELLA AVE, SUITE 321, LOS ALAMITOS, CA 90720-3338
- **Mailing address phone:** (562) 594-3766
- **Mailing address fax:** (562) 493-4529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A47789 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2012
- **Last updated:** 07/03/2012
