Organization
GENERAL PROMED CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERASIM CHERKEZYAN (CEO/OWNER)
(818) 600-8847
Entity
Organization
Contact information
Practice address
17620 SHERMAN WAY STE 205, LAKE BALBOA, CA 91406-3527
(818) 600-8847
(818) 600-8846
Mailing address
17620 SHERMAN WAY STE 205, LAKE BALBOA, CA 91406-3527
(818) 600-8847
(818) 600-8846
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003334987-0001-1
LOS ANGELES BUSINESS LICENSE
—
Enumeration date
12/28/2022
Last updated
12/28/2022
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