Individual
ANI AVAKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2027 MONTROSE AVE, MONTROSE, CA 91020-1604
(818) 275-2495
Mailing address
1127 THOMPSON AVE, GLENDALE, CA 91201-1512
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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