Individual
IRINA MANUKYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1300 N VERMONT AVE # 307, LOS ANGELES, CA 90027-6005
(323) 953-8821
(323) 953-9503
Mailing address
1300 N VERMONT AVE # 307, LOS ANGELES, CA 90027-6005
(323) 953-8821
(323) 953-9503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F1015547
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
F1015547
CA
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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