Individual
DR. VARDANUSH KETIKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD # B220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A147604
CA
208M00000X
Hospitalist Physician
Primary
A147604
CA
Other
Enumeration date
03/26/2013
Last updated
01/04/2024
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