Individual
SATENIK AVETISYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
640 N KEYSTONE ST, B, BURBANK, CA 91506-1900
(818) 846-8666
(818) 846-8665
Mailing address
640 N KEYSTONE ST, B, BURBANK, CA 91506-1900
(818) 846-8666
(818) 846-8665
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200606454
TAX
CA
Enumeration date
12/03/2015
Last updated
12/03/2015
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