Organization
LIFE SURGICAL ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVO ARTINYAN MD, MS (CEO)
(818) 606-2200
Entity
Organization
Contact information
Practice address
4515 CASTLE RD, LA CANADA, CA 91011-1437
(818) 484-8049
Mailing address
1439 COLINA DR, GLENDALE, CA 91208-2410
(818) 606-2200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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