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Individual

MICHAEL A AVAKIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2544 E WASHINGTON BLVD, SUITE C, PASADENA, CA 91107-1465
(626) 398-4069
(626) 798-9041
Mailing address
2544 E WASHINGTON BLVD, SUITE C, PASADENA, CA 91107-1452
(626) 398-4069
(626) 798-9041

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3953
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E39530
CA
Enumeration date
07/28/2006
Last updated
05/19/2010
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