# LAZIK DER SARKISSIAN, MD A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1265784532
- **Authorized official:** LAZIK DER SARKISSIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 243-9463

## Contact information

- **Practice address:** 540 N CENTRAL AVE, 205, GLENDALE, CA 91203-1916
- **Practice address phone:** (818) 243-9463
- **Practice address fax:** (818) 243-5416
- **Mailing address:** 540 N CENTRAL AVE, 205, GLENDALE, CA 91203-1916
- **Mailing address phone:** (818) 243-9463
- **Mailing address fax:** (818) 243-5416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | AO41167 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2012
- **Last updated:** 10/10/2012