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Individual

VIOLETA M NAVASARDIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1546 E WASHINGTON BLVD, PASADENA, CA 91104-2657
(626) 791-2552
(626) 791-2506
Mailing address
1546 E WASHINGTON BLVD, PASADENA, CA 91104-2657
(626) 791-2552
(626) 791-2506

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
A69393
CA
208D00000X
General Practice Physician
Primary
A69393
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W16795
MEDICARE GROUP ID
CA
Enumeration date
01/31/2007
Last updated
10/01/2007
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