# AVISA MEDICAL CORP

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

## Provider details

- **NPI number:** 1689814402
- **Authorized official:** DR. AVISA ABAIAN MD (MD / PRESIDENT)
- **Authorized official phone:** (714) 283-0464

## Contact information

- **Practice address:** 6200 E CANYON RIM RD, 109D, ANAHEIM, CA 92807-4317
- **Practice address phone:** (714) 283-0464
- **Practice address fax:** (714) 283-0489
- **Mailing address:** 6200 E CANYON RIM RD, 109D, ANAHEIM, CA 92807-4317
- **Mailing address phone:** (714) 283-0464
- **Mailing address fax:** (714) 283-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | A86850 | CA | Yes |

## Other

- **Enumeration date:** 03/06/2009
- **Last updated:** 03/06/2009