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Individual

RAFFY MIRZAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
466 FOOTHILL BLVD STE 121, LA CANADA, CA 91011-3518
(424) 235-7187
Mailing address
466 FOOTHILL BLVD STE 121, LA CANADA, CA 91011-3518
(424) 235-7187

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
A60906
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A60906
CA

Other

Enumeration date
11/29/2006
Last updated
04/29/2026
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