Individual
EDGAR AVETISIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352
(818) 582-8832
(818) 582-8836
Mailing address
605 N LOUISE ST UNIT 305, GLENDALE, CA 91206-2274
(818) 433-1013
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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