Organization
GREG S. KHOUNGANIAN, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG S. KHOUNGANIAN M.D. (PRESIDENT)
(818) 343-4430
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, 311, TARZANA, CA 91356
(818) 343-4430
(818) 343-4423
Mailing address
5525 ETIWANDA AVE, 311, TARZANA, CA 91356
(818) 343-4430
(818) 343-4423
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A102948
CA
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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