Individual
VACHIK SHAHNAZARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 S GLENDALE AVE STE 304, GLENDALE, CA 91205-2866
(818) 291-4041
(818) 291-4047
Mailing address
1030 S GLENDALE AVE STE 304, GLENDALE, CA 91205-2866
(818) 291-4041
(818) 291-4047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A84308
CA
208D00000X
General Practice Physician
Primary
A84308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A843080
—
CA
Enumeration date
01/30/2007
Last updated
12/29/2022
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