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Organization
AGHAPY MEDICAL GROUP, INC
Active
Organization
AGHAPY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATA O MEHRTASH M.D. (PRESIDENT)
(562) 531-3331
Entity
Organization
Contact information
Practice address
12954 HAWTHORNE BLVD, 101, HAWTHORNE, CA 90250-4418
(310) 219-1550
(310) 219-0723
Mailing address
12954 HAWTHORNE BLVD, 101, HAWTHORNE, CA 90250-4418
(310) 219-1550
(310) 219-0723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790929206
—
CA
Enumeration date
04/28/2009
Last updated
09/05/2012
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