Individual
DR. MICHAEL AARON LALEZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1082 GLENDON AVE, LOS ANGELES, CA 90024-2908
(310) 906-2270
(310) 861-8824
Mailing address
127 N GARDNER ST, LOS ANGELES, CA 90036-2719
(310) 301-6800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A109360
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A109360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1093600
—
CA
01
—
59332
LICENSE
AZ
01
—
A109360
LICENSE
CA
Enumeration date
06/15/2009
Last updated
03/30/2021
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