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Organization
HEALPRO
Active
Organization
HEALPRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMVEL BAGHOYAN (PRACTICE OWNER)
(310) 432-3219
Entity
Organization
Contact information
Practice address
255 PARKSIDE DR UNIT 204, SAN FERNANDO, CA 91340-3033
(310) 432-3219
Mailing address
255 PARKSIDE DR UNIT 204, SAN FERNANDO, CA 91340-3033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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