Individual
TEODIK GRIGORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18531 ROSCOE BLVD STE 215, NORTHRIDGE, CA 91324-5975
(818) 775-5744
Mailing address
18531 ROSCOE BLVD STE 215, NORTHRIDGE, CA 91324-5975
(818) 775-5744
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20A15169
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20A15169
CA
Other
Enumeration date
10/29/2014
Last updated
12/27/2021
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