Individual
JOSEPH KERENDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17075 DEVONSHIRE ST, SUITE 307, NORTHRIDGE, CA 91325-1600
(818) 832-5551
(818) 832-0124
Mailing address
17075 DEVONSHIRE ST, SUITE 307, NORTHRIDGE, CA 91325-1600
(818) 832-5551
(818) 832-0124
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G75439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G754390
BLUE SHIELD PROVIDER NO
CA
05
—
00G754390
—
CA
01
—
00G754391
BLUE SHIELD PROVIDER NO
CA
01
—
00G754392
BLUE SHIELD PROVIDER NO
CA
05
—
00G754392
—
CA
05
—
00G75491
—
CA
Enumeration date
07/18/2005
Last updated
07/09/2007
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