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Individual

ROBERT ROY ANAVIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
23456 HAWTHORNE BLVD, SUITE 270, TORRANCE, CA 90505-4716
(310) 375-1417
Mailing address
23456 HAWTHORNE BLVD, SUITE 270, TORRANCE, CA 90505-4716
(310) 375-1417

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3576
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E35760
CA
Enumeration date
06/30/2006
Last updated
07/11/2008
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