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JILBERT ABNOOSIAN PA
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1447300314
Individual Registrant: JILBERT ABNOOSIAN PA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
3630 IMPERIAL HIGHWAY LYNWOOD, CA 90262 US
Tel: 310-900-4534 Fax: --
Tel: 310-900-4534 Fax: --
Contact information for business:
831 GRAYNOLD AVE GLENDALE, CA 91202 US
Tel: 818-841-7115 Fax: --
Tel: 818-841-7115 Fax: --
Registration Information:
NPI: 1447300314
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | CA | PA 19000 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PA19000 | CA | 05 |
