Individual
EDWARD AGAZARYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
7300 MEDICAL CENTER DR, WEST HILLS, CA 91307-1902
(818) 676-4000
Mailing address
1540 ALCAZAR ST STE 133, LOS ANGELES, CA 90089-0080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20510
STATE LICENSE
CA
Enumeration date
09/01/2017
Last updated
09/26/2023
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