Organization
MICHAEL A. AVAKIAN, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A. AVAKIAN D.P.M. (DOCTOR OF PODIATRIC MEDICINE)
(626) 398-4069
Entity
Organization
Contact information
Practice address
2544 E WASHINGTON BLVD, SUITE C, PASADENA, CA 91107-1452
(626) 398-4069
(626) 798-9041
Mailing address
2544 E WASHINGTON BLVD, SUITE C, PASADENA, CA 91107-1452
(626) 398-4069
(626) 798-9041
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
E3953
CA
335E00000X
Prosthetic/Orthotic Supplier
Primary
E3953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E39530
—
CA
Enumeration date
03/05/2008
Last updated
05/19/2010
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