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Individual

ARIS MANGASARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3111 WINONA AVE UNIT 201, BURBANK, CA 91504-2538
(626) 792-8797
(626) 792-8798
Mailing address
3620 MCCLINTOCK AVE STE 501, LOS ANGELES, CA 90089-1061

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAPSED
CA
101Y00000X
Counselor
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
10236-R
CA

Other

Enumeration date
02/13/2017
Last updated
11/07/2022
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