Individual
MRS. NORMA HAGOP KASSARDJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30280 RANCHO VIEJO ROAD, SAN JUAN CAPISTRANO, CA 92675
(949) 248-1632
(949) 248-7321
Mailing address
30280 RANCHO VIEJO ROAD, SAN JUAN CAPISTRANO, CA 92675
(949) 248-1632
(949) 248-7321
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G65294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G652940
BLUE SHIELD
CA
01
—
92675C004
TRICARE WPS
CA
Enumeration date
10/02/2006
Last updated
07/14/2023
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