Organization
HARA PODIATRISTS' GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HRATCH DEMIRJIAN D.P.M. (PRESIDENT)
(626) 331-7391
Entity
Organization
Contact information
Practice address
1257 W. SAN BERNARDINO RD, COVINA, CA 91722-0980
(626) 331-7391
(626) 339-0613
Mailing address
PO BOX 1980, COVINA, CA 91722-0980
(626) 331-7391
(626) 339-0613
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ49752Z
—
CA
Enumeration date
08/04/2006
Last updated
05/19/2010
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