NPI 1033247515

Martiros Mishidzhyan

Practitioner Contractor Los Angeles, CA

Practice location

Address: 5207 W Sunset Blvd, Los Angeles, CA 90027-5709
Phone: (323) 661-8004
Fax: (818) 507-0314

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 5702430001 (CA)

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Registry record

NPI: 1033247515
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2007
Record last updated: 28 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.