Individual
DANIEL DERMENDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 W BROADWAY, GLENDALE, CA 91204-1208
(323) 243-2052
Mailing address
5256 LOS ENCANTOS WAY, LOS ANGELES, CA 90027-1020
(323) 243-2052
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
176809
CA
Other
Enumeration date
04/10/2018
Last updated
08/25/2023
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