Individual
MS. ANI VARDAPETIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7128 PACIFIC BLVD, SUITE A, HUNTINGTON PARK, CA 90255-4776
(323) 586-0144
(323) 586-0629
Mailing address
7128 PACIFIC BLVD, SUITE A, HUNTINGTON PARK, CA 90255-4776
(323) 586-0144
(323) 586-0629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19886
CA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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