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Individual

WANES BARSEMIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1680 E 120-TH STREET, MARTIN LUTHER KING COM HOSPITAL, LOS ANGELES, CA 90059
(424) 338-8000
(424) 338-8962
Mailing address
1680 E 120-TH STREET, MLKCH, LOS ANGELES, CA 90059
(424) 338-8000
(424) 338-8962

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047393
GA
208M00000X
Hospitalist Physician
Primary
66186
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047393
STATE LICENSE
GA
01
A66186
STATE LICE
CA
Enumeration date
06/02/2005
Last updated
10/05/2021
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