Tatevossian, Raymond G.
Tatevossian, Raymond G. is an sole proprietor health care provider with primary practice located at 201 S Buena Vista St Ste 238 , Burbank CA 91505-4576. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tatevossian, Raymond G. can be contacted via phone (818) 325-2088.Contact Information
Primary practice address
201 S Buena Vista St Ste 238
Burbank CA 91505-4576
Phone: (818) 325-2088
Fax: (818) 563-6201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A87098 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A87098 | California |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A87098 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | A87098 | California |
Profile Details
| NPI number | 1184746968 |
|---|---|
| LBN Legal business name | Tatevossian, Raymond G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Jul 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184746968 | NPPES |
| California | MEDICAID | 0A870980 |
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