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Individual

ARMEN AIVAZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3335 DEER CREEK LN, GLENDALE, CA 91208-1166
(310) 222-2345
Mailing address
9998 CROSSPOINT BLVD STE 200, INDIANAPOLIS, IN 46256-3307
(317) 806-8260
(317) 806-8296

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01083380A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
A138112
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01083380A
MEDICAL LICENSING BOARD OF INDIANA
IN
05
300038125
IN
01
A138112
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
07/23/2014
Last updated
03/07/2023
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