Panossian, Andre

Panossian, Andre is an sole proprietor health care provider with primary practice located at 39 Congress St Ste 402 , Pasadena CA 91105-3024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Panossian, Andre can be contacted via phone (800) 958-3778.

Contact Information

Primary practice address
39 Congress St Ste 402 Pasadena CA 91105-3024
Phone: (800) 958-3778
Fax: (800) 958-3778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X A76052 California

Profile Details

NPI number 1710177845
LBN Legal business name Panossian, Andre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Sep 15th, 2019 - 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 1710177845 NPPES
California Other 00A760520 BLUE SHIELD #
California MEDICAID 1710177845 BLUE SHIELD #

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