Organization
KAYICHIAN DESPINA, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DESPINA GHABY KAYICHIAN M.D. (PRESIDENT)
(818) 241-7628
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 210, GLENDALE, CA 91204-2500
(818) 241-7628
(818) 241-7639
Mailing address
1510 S CENTRAL AVE, SUITE 210, GLENDALE, CA 91204-2500
(818) 241-7628
(818) 241-7639
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A052950
CA
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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