Individual
GAYANE AVAGYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1086 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(818) 935-3179
Mailing address
10562 KURT ST, SYLMAR, CA 91342-6834
(818) 935-3179
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CA
Other
Enumeration date
02/05/2024
Last updated
04/30/2025
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