Individual
MR. GARO H KODJABABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241
(562) 904-5392
(562) 904-5385
Mailing address
7706 VALE DRIVE, WHITTIER, CA 90602
(562) 693-4160
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A21436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A214360
BLUE SHIELD
CA
Enumeration date
11/22/2006
Last updated
07/08/2007
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