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Organization
SHANT KAZAZIAN MD INC.
Active
Organization
SHANT KAZAZIAN MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANT KAZAZIAN M.D. (CEO)
(323) 304-0975
Entity
Organization
Contact information
Practice address
204 E CHEVY CHASE DR STE 2, GLENDALE, CA 91205-3181
(818) 545-9090
(818) 545-9098
Mailing address
204 E CHEVY CHASE DR STE 2, GLENDALE, CA 91205-3181
(818) 545-9090
(818) 545-9098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A94612
CA
Other
Enumeration date
10/06/2010
Last updated
07/07/2013
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