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Tigran Avetisyan
NPI 1992524169 · on the registry since 2024
Practice
- Address
- 1516 E Broadway Apt 2
Glendale, CA 91205 - Phone
- (818) 799-8926
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-05
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