Individual
MR. GRANT G. SARKISYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3791 KATELLA AVE, #201 VASCULAR & GENERAL SURGERY ASSOC., LOS ALAMITOS, CA 90720-3105
(562) 596-6736
(562) 596-5387
Mailing address
3791 KATELLA AVE, #201 VASCULAR & GENERAL SURGERY ASSOC., LOS ALAMITOS, CA 90720-3105
(562) 596-6736
(562) 596-5387
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A84533
CA
208C00000X
Colon & Rectal Surgery Physician
A84533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A845330
BLUE SHIELD PIN
CA
05
—
00A845330
—
CA
01
—
A84533
LIC
CA
01
—
I27906
UPIN NUMBER
CA
Enumeration date
07/12/2007
Last updated
03/07/2023
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