Individual
MICHAEL KHANJYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-4005
Mailing address
7777 ALVARADO RD STE 108, LA MESA, CA 91942-8245
(619) 460-2770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A164122
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/16/2018
Last updated
03/12/2024
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