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General NPI Number Information
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NPI Number | 1326632761
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Entity Type | Organization
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Legal Business Name | H GOENJIAN PSYCHIATRY INC
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 2600 REDONDO AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-2325
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Country | US
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Telephone | 562-304-1740
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Fax |
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Provider Business Mailing Address
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Address Line | 4707 LA VILLA MARINA UNIT A
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City | MARINA DEL REY
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State | CA
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Zip | 90292-7011
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. HAIG GOENJIAN
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Credential | MD
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Telephone | 310-740-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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