Individual
ARMEN KHODABAKHSHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
3217 N EASTERN AVE, LOS ANGELES, CA 90032
(213) 625-5009
Mailing address
3217 N EASTERN AVE, LOS ANGELES, CA 90032
(213) 625-5009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1364050919
CA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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