Organization
ANNA GHAZANCHYAN
Active
Organization
ANNA GHAZANCHYAN
Active
Other names
MODERN IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GHAZANCHYAN RDCS, RVT (OWNER)
(818) 240-7744
Entity
Organization
Contact information
Practice address
801 S CHEVY CHASE DR, # 60, GLENDALE, CA 91205-4431
(818) 240-7744
(818) 240-7755
Mailing address
801 S CHEVY CHASE DR, # 60, GLENDALE, CA 91205-4431
(818) 240-7744
(818) 240-7755
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
174400000X
Specialist
—
—
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XC2903X
Vascular Specialist/Technologist Cardiovascular
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
11/28/2012
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