Individual
MR. ROUBEN VIRABOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1510 S CENTRAL AVE STE 100, GLENDALE, CA 91204-2582
(818) 240-1820
(818) 240-1021
Mailing address
1333 VALLEY VIEW RD APT 13, GLENDALE, CA 91202-1732
(818) 242-3636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17404
CA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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