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Individual

DR. GUIRAGOS SARKIS MINASSIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5620 WILBUR AVE, #212, TARZANA, CA 91356
(818) 708-8044
Mailing address
5620 WILBUR AVE, #212, TARZANA, CA 91356

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A42974
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0A429740
CA
05
0A429741
CA
Enumeration date
10/11/2006
Last updated
07/08/2007
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