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Individual

PETER DAGLIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6412 MATILIJA AVE #205, VAN NUYS, CA 91402
(877) 505-5525
Mailing address
6412 MATILIJA AVE STE 205, VAN NUYS, VAN NUYS, CA 91401-1576
(877) 505-5525
(818) 842-5822

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0025663
CA

Other

Enumeration date
01/23/2015
Last updated
01/23/2015
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