Individual
MARTIROS MISHIDZHYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5207 W SUNSET BLVD, LOS ANGELES, CA 90027-5709
(323) 661-8004
(818) 507-0314
Mailing address
5207 W SUNSET BLVD, LOS ANGELES, CA 90027-5709
(323) 661-8004
(818) 507-0314
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5702430001
CA
Other
Enumeration date
02/28/2007
Last updated
12/28/2007
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