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CHRISTINE AYVAZYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1500 S CENTRAL AVE, SUITE 221, GLENDALE, CA 91204-2530
(818) 242-0475
(818) 662-0260
Mailing address
1500 S CENTRAL AVE, SUITE 221, GLENDALE, CA 91204-2530
(818) 242-0475
(818) 662-0260

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 16368
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA 16368
PA LISENSE
CA
Enumeration date
07/22/2006
Last updated
03/24/2022
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