Organization
KAZANCHYAN MEDICAL GROUP
Active
Other names
KAZANCHYAN MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOVSES KAZANCHYAN MD (PRESIDENT)
(818) 437-7139
Entity
Organization
Contact information
Practice address
342 BONNIE CIR STE A, CORONA, CA 92878-4392
(800) 626-2468
(951) 278-5590
Mailing address
PO BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 278-5590
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A146695
HOSPITALIST
CA
Enumeration date
08/19/2022
Last updated
11/09/2022
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