Individual
FLORA ABRAHAMIAN VARDANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94 N MADISON AVE, PASADENA, CA 91101-1740
(626) 792-4171
(626) 792-2328
Mailing address
94 N MADISON AVE, PASADENA, CA 91101-1740
(626) 792-4171
(626) 792-2328
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
261242
MA
207K00000X
Allergy & Immunology Physician
Primary
A85631
CA
207R00000X
Internal Medicine Physician
A85631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A856310
—
CA
Enumeration date
01/08/2007
Last updated
03/12/2019
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