# DR. KAZARIAN PROFESSIONAL MEDICAL CORP

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

## Provider details

- **NPI number:** 1699222851
- **Authorized official:** VAHE KAZARIAN MD (OWNER)
- **Authorized official phone:** (818) 632-3502

## Contact information

- **Practice address:** 4735 S DURANGO DR STE 101, LAS VEGAS, NV 89147-8164
- **Practice address phone:** (725) 735-7338
- **Practice address fax:** (725) 735-7338
- **Mailing address:** 4735 S DURANGO DR STE 101, LAS VEGAS, NV 89147-8164
- **Mailing address phone:** (725) 735-7338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | A104760 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2016
- **Last updated:** 08/23/2024