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Organization
RST MEDICAL INC
Active
Organization
RST MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALLIN MARTIROSSIAN PA-C (CEO/PA-C)
(623) 760-7740
Entity
Organization
Contact information
Practice address
18040 SHERMAN WAY STE 210, RESEDA, CA 91335-4656
(818) 796-2920
Mailing address
12272 WILLOWBEND LN, SYLMAR, CA 91342-5150
(623) 760-7740
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
251F00000X
Home Infusion Agency
—
NULL
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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