Individual
TANIA BETTY KAPREALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, RM#14-19, LOS ANGELES, CA 90095-0001
(310) 825-0128
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0128
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A98653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A986530
—
CA
Enumeration date
10/20/2009
Last updated
09/09/2011
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