Individual
AGAVNI ASATRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1535 W MERCED AVE STE 300, WEST COVINA, CA 91790-3404
(626) 473-0340
Mailing address
8136 LLOYD AVE, NORTH HOLLYWOOD, CA 91605-1011
(323) 630-6565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95021258
CA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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