Individual
MRS. JIRAIR BOGHOS KONIALIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18546 ROSCOE BLVD, SUITE 220, NORTHRIDGE, CA 91324-4663
(818) 886-0600
(818) 701-8100
Mailing address
18546 ROSCOE BLVD, SUITE 220, NORTHRIDGE, CA 91324-4663
(818) 886-0600
(818) 701-8100
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A036485
CA
Other
Enumeration date
03/21/2006
Last updated
07/08/2007
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