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Individual

IZABELA HARUTYUNYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
127 S SAN VICENTE BLVD STE A3629, LOS ANGELES, CA 90048-3311
(323) 791-5557
Mailing address
PO BOX 512717, LOS ANGELES, CA 90051-0717
(310) 423-5000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
828289
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95009557
CA

Other

Enumeration date
09/14/2018
Last updated
11/20/2018
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