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MR. SHANT ROUPEN BABOUJIAN L.AC.
Health Service >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1578973798
Individual Registrant:MR. SHANT ROUPEN BABOUJIAN L.AC.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
28382 S WESTERN AVE RANCHO PALOS VERDES, CA 90275-1434 US
Tel: 310-832-8777 Fax: 310-832-8046
Tel: 310-832-8777 Fax: 310-832-8046
Contact information for business:
28382 S WESTERN AVE RANCHO PALOS VERDES, CA 90275-1434 US
Tel: 310-832-8777 Fax: 310-832-8046
Tel: 310-832-8777 Fax: 310-832-8046
Registration Information:
NPI: 1578973798
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QH0100X | Ambulatory Health Care Facilities Clinic/Center Health Service | CA | AC15900 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
