Individual
GAGIK ABGARYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7745 DONEVA AVE, FAIR OAKS, CA 95628-7313
(916) 961-5836
(916) 863-1577
Mailing address
7745 DONEVA AVE, FAIR OAKS, CA 95628-7313
(916) 961-5836
(916) 863-1577
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
621497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01075F
—
CA
Enumeration date
11/20/2006
Last updated
07/09/2007
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