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Individual

MR. GEVORG DIARYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1323 N KINGSLEY DR, SUITE 6, LOS ANGELES, CA 90027-5738
(323) 719-1115
(323) 644-5404
Mailing address
1323 N KINGSLEY DR, SUITE 6, LOS ANGELES, CA 90027-5738
(323) 719-1115
(323) 644-5404

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8X31335
CA

Other

Enumeration date
05/04/2011
Last updated
05/04/2011
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