# VERDUGO MULTI-SPECIALTY MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1487869533
- **Authorized official:** ARAM MANOUKYAN (CEO)
- **Authorized official phone:** (323) 255-5818

## Contact information

- **Practice address:** 819 S VERMONT AVE, LOS ANGELES, CA 90005-1522
- **Practice address phone:** (323) 928-5052
- **Practice address fax:** (323) 274-4604
- **Mailing address:** 819 S VERMONT AVE, LOS ANGELES, CA 90005-1522
- **Mailing address phone:** (323) 928-5052
- **Mailing address fax:** (323) 274-4604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A91884 | CA | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 01/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1487869533 | — | CA |