Individual
DAVIT GEVORGYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12722 AMBOY AVE, SYLMAR, CA 91342-3608
(209) 330-0303
Mailing address
12722 AMBOY AVE, SYLMAR, CA 91342-3608
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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