Individual
ALEXANDER S GUREGHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6595 PROVENCE RD, SAN GABRIEL, CA 91775-1741
(626) 215-5511
Mailing address
6595 PROVENCE RD, SAN GABRIEL, CA 91775-1741
(626) 215-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1167087
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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