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General NPI Number Information
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NPI Number | 1952533960
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Entity Type | Individual
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Provider Name | HAROUTUN ABRAHAMIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 12/07/2017
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Provider Practice Location Address
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Address Line | 4316 SLAUSON AVE
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City | MAYWOOD
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State | CA
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Zip | 90270-2838
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Country | US
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Telephone | 323-771-9867
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Fax | 323-771-6094
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Provider Business Mailing Address
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Address Line | 1441 HIGHLAND AVE
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City | GLENDALE
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State | CA
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Zip | 91202-1405
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Country | US
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Telephone | 818-317-4767
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A112196
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License Number State | CA
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