Individual
DR. SIPAN MATHEVOSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ STE 1638, LOS ANGELES, CA 90095
(818) 309-3133
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A157785
CA
2085R0204X
Vascular & Interventional Radiology Physician
A157785
CA
Other
Enumeration date
03/28/2017
Last updated
07/07/2022
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