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Organization
BENO NERSISSIAN MD INC
Active
Organization
BENO NERSISSIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENO NERSISSIAN M.D. (ORTHOPEDIC SURGEON)
(818) 548-4668
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE STE 507, GLENDALE, CA 91205-2866
(818) 548-4668
Mailing address
1030 S GLENDALE AVE STE 507, GLENDALE, CA 91205-2866
(818) 548-4668
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A48545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A485450
—
CA
Enumeration date
01/25/2008
Last updated
04/27/2021
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