Individual
JEFFREY ARAM BOGOSIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5230 PACIFIC CONCOURSE DR, SUITE #110, LOS ANGELES, CA 90045-6200
(310) 643-0821
(310) 643-7546
Mailing address
5230 PACIFIC CONCOURSE DR, SUITE #110, LOS ANGELES, CA 90045-6200
(310) 643-0821
(310) 643-7546
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G47831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G478310
—
CA
Enumeration date
05/24/2006
Last updated
07/08/2007
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