Individual
ASTGHIK HARUTYUNYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3699 WILSHIRE BLVE, LOS ANGELES, CA 90010
(323) 445-5659
Mailing address
6618 MAMMOTH AVE, VAN NUYS, CA 91405-4812
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
39559
CA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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