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Organization
EAGLE ROCK MEDICAL CENTER
Active
Organization
EAGLE ROCK MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYUNA PANOSSIAN MD (OWNER)
(323) 254-6754
Entity
Organization
Contact information
Practice address
4867 EAGLE ROCK BLVD STE 1, LOS ANGELES, CA 90041-2649
(323) 254-6754
(323) 257-5949
Mailing address
4867 EAGLE ROCK BLVD STE 1, LOS ANGELES, CA 90041-2649
(323) 254-6754
(323) 257-5949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/25/2023
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