Search › California › 111N00000X
Lydia Baghdaseriani
NPI 1992726012 · on the registry since 2006 · sole proprietor
Practice
- Address
- 310 E Providencia Ave Apt 106
Burbank, CA 91502 - Phone
- (818) 662-0208
- Fax
- (661) 822-2049
- Organisation at this address
- Aag Concepts
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
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