Individual
ALVINA MKRTUMYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18040 SHERMAN WAY STE 204, RESEDA, CA 91335-4656
(818) 964-2222
(747) 267-7878
Mailing address
13140 BASSETT ST, NORTH HOLLYWOOD, CA 91605-4726
(818) 399-6823
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
95027021
CA
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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