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Individual

TALINE GRACE KRIKORIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3345 MICHELSON DR STE 100, IRVINE, CA 92612-0693
(855) 229-6460
(503) 893-6847
Mailing address
400 W CALIFORNIA AVE UNIT 110, GLENDALE, CA 91203-2925

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA20866
CA
363A00000X
Physician Assistant
PA61119226
WA
363AM0700X
Medical Physician Assistant
Primary
PA20866
CA

Other

Enumeration date
04/06/2010
Last updated
01/23/2023
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