Organization
ALEXANDER M MAJIDIAN M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MEHRER (OFFICE MANAGER)
(818) 550-0900
Entity
Organization
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 981-7111
Mailing address
PO BOX 951, GLENDALE, CA 91209-0951
(818) 550-0900
(818) 550-0909
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A61101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A611012
BLUE SHIELD
CA
01
—
A61101
BLUE CROSS
CA
Enumeration date
01/15/2010
Last updated
06/23/2010
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