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Organization
KAZANCHYAN MEDICAL GROUP
Active
Organization
KAZANCHYAN MEDICAL GROUP
Active
Other names
KAZANCHYAN MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOVSES KAZANCHYAN MD (PRESIDENT)
(818) 437-7139
Entity
Organization
Contact information
Practice address
342 BONNIE CIR STE A, CORONA, CA 92878-4392
(800) 626-2468
(951) 278-5590
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 278-5590
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A146695
HOSPITALIST
CA
Enumeration date
08/19/2022
Last updated
11/09/2022
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