Individual
AVETIS GEORG GEVORKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S SAN PEDRO ST, LOS ANGELES, CA 90014-2431
(323) 303-2835
Mailing address
500 S SAN PEDRO ST, LOS ANGELES, CA 90013-2102
(323) 303-2835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
11/15/2022
Last updated
11/20/2025
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