Individual
DR. ARISS DERHOVANESSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, UCLA CENTER FOR HEALTH SCIENCES 37-131, BOX 951690, LOS ANGELES, CA 90095-1690
(310) 825-8599
(310) 794-7073
Mailing address
10833 LE CONTE AVE, UCLA CENTER FOR HEALTH SCIENCES 37-131, BOX 951690, LOS ANGELES, CA 90095-1690
(310) 825-8599
(310) 794-7073
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A100344
CA
207RP1001X
Pulmonary Disease Physician
Primary
A100344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174814701
—
CA
Enumeration date
04/30/2011
Last updated
09/24/2012
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