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Individual

DR. LEVON DJENDEREDJIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1855 SAN MIGUEL DR STE 28, WALNUT CREEK, CA 94596-5298
(310) 940-3292
Mailing address
1855 SAN MIGUEL DR STE 28, WALNUT CREEK, CA 94596-5298
(310) 940-3292

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
298969
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
A172266
CA

Other

Enumeration date
04/25/2016
Last updated
05/12/2022
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