Individual
MARINEH BOJALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 500, MAIL CODE 10H2, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, BLDG 500, MAIL CODE 10H2, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
43833
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A100137
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861433400
—
MN
Enumeration date
01/10/2006
Last updated
04/05/2016
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