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Organization
SHANT TOMASSIAN MD INC
Active
Organization
SHANT TOMASSIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANT GREG TOMASSIAN MD (OWNER)
(626) 963-0900
Entity
Organization
Contact information
Practice address
415 W ROUTE 66 STE 201, GLENDORA, CA 91740-4335
(626) 963-0900
(626) 963-9663
Mailing address
415 W ROUTE 66 STE 201, GLENDORA, CA 91740-4335
(626) 963-0900
(626) 963-9663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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