# ARA KESHISHIAN, A PROFESSIONAL MEDICAL CORP

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

## Provider details

- **NPI number:** 1518127968
- **Authorized official:** DR. ARA KESHISHIAN M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (818) 812-7222

## Contact information

- **Practice address:** 10 CONGRESS ST STE 300, PASADENA, CA 91105-3027
- **Practice address phone:** (818) 812-7222
- **Practice address fax:** (818) 952-0990
- **Mailing address:** 10 CONGRESS ST STE 300, PASADENA, CA 91105-3027
- **Mailing address phone:** (818) 812-7222
- **Mailing address fax:** (818) 952-0990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A55904 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 08/13/2020