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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629288329 | NPPES |
| California | Other | BLUE SHIELD | 0A1048570 |
| California | Other | A104857 | 0A1048570 |
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