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Individual

MS. ELA GRIGORIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, CDE

Contact information

Practice address
2600 REDONDO AVE, LONG BEACH, CA 90806-2325
(562) 988-7187
Mailing address
500 CAGNEY LN PH 2, NEWPORT BEACH, CA 92663-2624
(949) 631-5477

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
805510
MI

Other

Enumeration date
12/11/2007
Last updated
12/11/2007
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