Individual
DR. GARO YEREVANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6750
(619) 644-1139
Mailing address
5525 GROSSMONT CENTER DR, LA MESA, CA 91942-3009
(619) 644-6750
(619) 644-1139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A26637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A266370
—
CA
Enumeration date
08/31/2006
Last updated
06/27/2013
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