# GARABED NISHANIAN, M.D., A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1841557576
- **Authorized official:** GARABED NISHANIAN M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (949) 429-8840

## Contact information

- **Practice address:** 26800 CROWN VALLEY PKWY STE 420, MISSION VIEJO, CA 92691-8023
- **Practice address phone:** (949) 429-8840
- **Practice address fax:** (949) 347-9647
- **Mailing address:** 4740 LOS FELIZ BLVD, LOS ANGELES, CA 90027-1918
- **Mailing address phone:** (949) 429-8840
- **Mailing address fax:** (949) 347-9647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | A52537 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2012
- **Last updated:** 04/19/2012