Individual
AIDA AVANESIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
201 N BELMONT ST, APT 104, GLENDALE, CA 91206-4925
(818) 484-6342
Mailing address
5250 SANTA MONICA BLVD, SUITE 304, LOS ANGELES, CA 90029
(323) 953-1000
(323) 953-1000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 11057
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC0110570
—
CA
Enumeration date
01/26/2007
Last updated
05/29/2008
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