Ayvazian, Hermoz B

Ayvazian, Hermoz B is an sole proprietor health care provider with primary practice located at 110 S Adams St , Glendale CA 91205-1312. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Ayvazian, Hermoz B can be contacted via phone (818) 242-4426.

Contact Information

Primary practice address
110 S Adams St Glendale CA 91205-1312
Phone: (818) 242-4426
Fax: (818) 242-4409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3761 California

Profile Details

NPI number 1760564272
LBN Legal business name Ayvazian, Hermoz B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Dec 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760564272 NPPES
California MEDICAID 000E37610
California Other E3761
California Other 4320950001
California Other 05D0856782
California Other 200858800
California Other ZZZ60226Z
California Other 480027586
California Other 954745477

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