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ARUTYUN AMBARTSUMYAN
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1285074872
Individual Registrant: ARUTYUN AMBARTSUMYAN
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
6736 LAUREL CANYON BLVD SUITE 200 NORTH HOLLYWOOD, CA 91606-1538 US
Tel: 818-755-8786 Fax: --
Tel: 818-755-8786 Fax: --
Contact information for business:
632 ALEXANDER ST APT. #2 GLENDALE, CA 91203-1674 US
Tel: 818-543-0752 Fax: --
Tel: 818-543-0752 Fax: --
Registration Information:
NPI: 1285074872
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program | CA |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
