Individual
SHAGHIG KOUYOUMJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, MS#3, LOS ANGELES, CA 90027-6062
(323) 361-5918
Mailing address
4650 W SUNSET BLVD, MS#3, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R70713
AZ
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A112117
CA
Other
Enumeration date
12/09/2009
Last updated
08/06/2012
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