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Individual

KARINA GAVRELOVNA TAVAKALYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
5400 BALBOA BLVD STE 325, ENCINO, CA 91316-5226
(818) 782-0559
Mailing address
18701 SHERMAN WAY STE 2, RESEDA, CA 91335-4049
(818) 782-0559

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5706
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/27/2018
Last updated
03/27/2025
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