Individual
MS. JACLYN SONIA AGOPIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAP, PA-C
Contact information
Practice address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
(818) 907-9506
Mailing address
4836 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2101
(818) 907-7546
(818) 907-9506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21026
CA
Other
Enumeration date
09/22/2010
Last updated
11/16/2011
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