SearchCalifornia363LG0600X

Tina Ghazarian

NPI 1124565130 · on the registry since 2017 · sole proprietor

Practice

Address
3945 Mayfield Ave
La Crescenta, CA 91214
Phone
(818) 263-1232

Additional practice sites

  • 1500 E. Duarte Road, Duarte, CA
  • 1500 E. Duarte Road, Duarte, CA

Registry record

Primary taxonomy
363LG0600X
363LG0600X
Also registered as
363LA2200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California