Individual
ALICE EVELYN AGZARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLAZA SUITE 290, LOS ANGELES, CA 90095-3075
(310) 794-4212
(310) 794-4272
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G37111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G371110
—
CA
Enumeration date
07/09/2006
Last updated
01/03/2020
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