Organization
VIKEN KONYALIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKEN KONYALIAN M.D. (CEO)
(562) 212-1238
Entity
Organization
Contact information
Practice address
701 E 28TH ST, 314, LONG BEACH, CA 90806-2759
(562) 212-1238
(562) 981-9318
Mailing address
701 E 28TH ST, 314, LONG BEACH, CA 90806-2759
(562) 212-1238
(562) 981-9318
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A78310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A78310
LICENSE
CA
Enumeration date
05/03/2010
Last updated
07/26/2010
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