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NPI Code Detail

MEDICARE: ARA KESHISHIAN, A PROFESSIONAL MEDICAL CORP

MEDICARE: ARA KESHISHIAN, A PROFESSIONAL MEDICAL CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/CenterA55904CA

General Provider Information

NPI Number : 1518127968
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARA KESHISHIAN, A PROFESSIONAL MEDICAL CORP
Provider Business Mailing Address
First Line : 10 CONGRESS ST STE 300
Second Line :
City : PASADENA
State : CA
Zip : 91105-3027
Country : US
Telephone Number : 818-812-7222
Fax Number : 818-952-0990
Provider Business Practice Location Address
First Line : 10 CONGRESS ST STE 300
Second Line :
City : PASADENA
State : CA
Zip : 91105-3027
Country : US
Telephone Number : 818-812-7222
Fax Number : 818-952-0990
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : DR. ARA KESHISHIAN
Credential : M.D.
Telephone Number : 818-812-7222
Provider Enumeration Date : 06/10/2008
Last Update Date : 08/13/2020

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Directions to “ARA KESHISHIAN, A PROFESSIONAL MEDICAL CORP ” Practice Location

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