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General NPI Number Information
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NPI Number | 1467713834
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Entity Type | Organization
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Legal Business Name | A PAUL KURKJIAN MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2810 E DEL MAR BLVD STE 7
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City | PASADENA
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State | CA
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Zip | 91107-4322
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Country | US
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Telephone | 213-537-2923
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 E DEL MAR BLVD STE 7
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City | PASADENA
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State | CA
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Zip | 91107-4322
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Country | US
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Telephone | 213-537-2923
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AZAD PAUL KURKJIAN
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Credential | M.D.
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Telephone | 818-284-1594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | A99007
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License Number State | CA
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