Individual
IRADJ H NAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7136 PACIFIC BLVD, STE 225, HUNTINGTON PARK, CA 90255-4783
(323) 588-5467
Mailing address
7136 PACIFIC BLVD, STE 225, HUNTINGTON PARK, CA 90255-4783
(323) 588-5467
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A43573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A435731
—
CA
01
—
05D0700622
CLIA #
CA
Enumeration date
02/05/2007
Last updated
03/12/2013
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