Individual
MR. RAFIAEL GRIGORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6033 ATLANTIC BLVD STE 8, MAYWOOD, CA 90270-3193
(323) 562-8800
(323) 562-8811
Mailing address
6033 ATLANTIC BLVD STE 8, MAYWOOD, CA 90270-3193
(323) 562-8800
(323) 562-8811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
132948
CA
Other
Enumeration date
10/31/2007
Last updated
11/01/2007
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