Individual
DR. KRIKOR HOVSEP MANOUKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 S BUENA VISTA ST # 310, BURBANK, CA 91505-4569
(818) 561-4533
(818) 561-4534
Mailing address
191 S BUENA VISTA ST STE 330, BURBANK, CA 91505-2537
(818) 561-4533
(818) 561-4534
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A110222
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104248871
GROUP NPI
CA
Enumeration date
12/07/2009
Last updated
06/04/2021
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