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JILBERT ABNOOSIAN PA

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1447300314

Individual Registrant:
 JILBERT  ABNOOSIAN PA
Gender: M
Sole Proprietor

Location and contact information for practice:
3630 IMPERIAL HIGHWAY  LYNWOOD, CA 90262 US
Tel: 310-900-4534  Fax: --

Contact information for business:
831 GRAYNOLD AVE  GLENDALE, CA 91202 US
Tel: 818-841-7115  Fax: --

Registration Information:
NPI: 1447300314
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
CAPA 19000

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PA19000CA05




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