Organization
R AJAKWE MD AND R TATEVOSSIAN MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND TATEVOSSIAN M.D. (OWNER)
(818) 325-2066
Entity
Organization
Contact information
Practice address
201 S BUENA VISTA ST, SUITE 238, BURBANK, CA 91505-4569
(818) 325-2088
(818) 325-2096
Mailing address
201 S BUENA VISTA ST, SUITE 238, BURBANK, CA 91505-4569
(818) 325-2088
(818) 325-2096
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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