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Organization

GREATER LA PAIN SPECIALISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HRIPSIME AVAGYAN DO (PRESIDENT)
(818) 808-8811
Entity
Organization

Contact information

Practice address
12626 RIVERSIDE DR STE 306, VALLEY VILLAGE, CA 91607-3477
(747) 277-4555
(747) 277-4888
Mailing address
3300 FOOTHILL BLVD UNIT 12359, LA CRESCENTA, CA 91224-7042
(747) 277-4555

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20A15266
MEDICAL LICENSE
CA
Enumeration date
10/18/2021
Last updated
12/07/2023
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