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MR. AVETIS KHACHIKIAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
801 S CHEVY CHASE DR, #105, GLENDALE, CA 91205-4431
(818) 242-5299
(818) 637-7607
Mailing address
801 S CHEVY CHASE DR, GLENDALE, CA 91205-4432
(818) 242-5299
(818) 637-7607

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14777
CA

Other

Enumeration date
05/11/2006
Last updated
07/09/2007
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