Individual
DAVID MAMIK MIKAELIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10131 FERNGLEN AVE, TUJUNGA, CA 91042-2215
(818) 669-3848
Mailing address
10131 FERNGLEN AVE, TUJUNGA, CA 91042-2215
(818) 669-3848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06241527
CA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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