Individual
ALEX SEMERJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 GENEVA ST, GLENDALE, CA 91206-2122
(818) 424-3200
Mailing address
724 GENEVA ST, GLENDALE, CA 91206-2122
(818) 424-3200
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PHOP1513182
CA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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