Individual
MS. VIVIAN AMIRKHANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
840 APOLLO ST, SUITE 101, EL SEGUNDO, CA 90245-4723
(310) 606-5664
Mailing address
321 E STOCKER ST, #103, GLENDALE, CA 91207-1363
(818) 802-8228
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT32050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT320500
BLUE SHIELD
CA
Enumeration date
03/10/2006
Last updated
08/16/2014
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