Minasian, Raffi R

Minasian, Raffi R is an individual health care provider with primary practice located at 1500 S Central Ave Suite300, Glendale CA 91204-2530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Minasian, Raffi R can be contacted via phone (818) 242-0475.

Contact Information

Primary practice address
1500 S Central Ave Suite300 Glendale CA 91204-2530
Fax: (818) 662-0260
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G52887 California

Profile Details

NPI number 1306860465
LBN Legal business name Minasian, Raffi R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 28th, 2016 - about 9 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 1306860465 NPPES
California MEDICAID 00G528870

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