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Individual

ROBERT GAZMARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826
Mailing address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
(818) 997-7826

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G80755
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G80755
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00452286
RRMCR
CA
Enumeration date
06/27/2006
Last updated
02/25/2015
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