Individual
MRS. LUCY BOYADZHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
7472 MELROSE AVE, LOS ANGELES, CA 90046-7524
(323) 431-8981
Mailing address
7472 MELROSE AVE, LOS ANGELES, CA 90046-7524
(323) 431-8981
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21341
CA
363A00000X
Physician Assistant
21341
CA
364SW0102X
Women's Health Clinical Nurse Specialist
21341
CA
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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