Ghazaryan, Gevorg

Ghazaryan, Gevorg is an individual health care provider with primary practice located at 1100 E Broadway Ste 205 , Glendale CA 91205-2490. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ghazaryan, Gevorg can be contacted via phone (818) 453-5192.

Contact Information

Primary practice address
1100 E Broadway Ste 205 Glendale CA 91205-2490
Phone: (818) 453-5192
Fax: (818) 452-0716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A104857 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A104857 California

Profile Details

NPI number 1629288329
LBN Legal business name Ghazaryan, Gevorg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629288329 NPPES
California Other BLUE SHIELD 0A1048570
California Other A104857 0A1048570

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