Individual
MR. GEVORG TEVANYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 S CLOVERDALE AVE, LOS ANGELES, CA 90036-4104
(323) 938-7237
(323) 938-7011
Mailing address
680 S CLOVERDALE AVE, LOS ANGELES, CA 90036-4104
(323) 938-7237
(323) 938-7011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
09/09/2010
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