Organization
A&N DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZARET BALAMUTYAN RVT (OWNER)
(323) 839-5523
Entity
Organization
Contact information
Practice address
5300 SANTA MONICA BLVD STE 200, LOS ANGELES, CA 90029-1258
(323) 461-5882
Mailing address
1339 N SYCAMORE AVE APT 102, LOS ANGELES, CA 90028-7557
(323) 839-5523
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
110793
CA
2471V0105X
Vascular Sonography Radiologic Technologist
129019
CA
Other
Enumeration date
01/10/2013
Last updated
01/11/2013
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