Organization
FOUR SEASON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MANASYAN (OWNER)
(323) 842-0626
Entity
Organization
Contact information
Practice address
5900 PACIFIC BLVD, SUITE 202A, HUNTINGTON PARK, CA 90255-2914
(323) 842-0626
(323) 588-9994
Mailing address
PO BOX 5046, HUNTINGTON PARK, CA 90255-9046
(323) 842-0626
(323) 588-9994
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
A36991
CA
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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