Individual
GAYANE KTSHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
605 N MEDNIK AVE, LOS ANGELES, CA 90022-1326
(323) 262-6700
(323) 262-0006
Mailing address
605 N MEDNIK AVE, LOS ANGELES, CA 90022-1326
(323) 262-6700
(323) 262-0006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18309
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA18309
—
CA
Enumeration date
05/01/2007
Last updated
07/09/2007
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