Individual
JILBERT ABNOOSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3630 IMPERIAL HIGHWAY, LYNWOOD, CA 90262
(310) 900-4534
Mailing address
831 GRAYNOLD AVE, GLENDALE, CA 91202
(818) 841-7115
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 19000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA19000
—
CA
Enumeration date
01/11/2007
Last updated
11/30/2021
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