Individual
GOHAR AYVAZYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 N BEDFORD DR STE 312, BEVERLY HILLS, CA 90210-4314
(310) 858-5090
(310) 276-5508
Mailing address
435 N BEDFORD DR STE 212, BEVERLY HILLS, CA 90210-4321
(310) 858-5090
(310) 888-0015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22097
CA
Other
Enumeration date
04/20/2012
Last updated
12/09/2015
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