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Organization
WASHINGTON MEDICAL GROUP
Active
Organization
WASHINGTON MEDICAL GROUP
Active
Other names
Washington Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA MANVELYAN M.D. (PRESIDENT)
(626) 398-4069
Entity
Organization
Contact information
Practice address
2544 E WASHINGTON BLVD, STE C, PASADENA, CA 91107-1452
(626) 398-4069
(626) 798-9041
Mailing address
2544 E WASHINGTON BLVD, STE C, PASADENA, CA 91107-1452
(626) 398-4069
(626) 798-9041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A55018
CA
213E00000X
Podiatrist
E3953
CA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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