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Organization
FREDERICK J KARUBIAN, M D A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
FREDERICK J KARUBIAN, M D A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK J KARUBIAN M.D. (CEO)
(310) 829-7584
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD # 765-W, SANTA MONICA, CA 90404-2102
(310) 829-7584
Mailing address
PO BOX 3353, SANTA MONICA, CA 90408-3353
(310) 829-7584
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A42957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A429570
—
CA
Enumeration date
04/25/2007
Last updated
06/29/2015
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