Individual
ANDRANIK MADIKIANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 825-9124
(310) 794-6623
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-9124
(310) 794-6623
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A56383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A563830
—
CA
05
—
GR0053510
—
CA
Enumeration date
08/14/2006
Last updated
09/12/2012
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