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NPI Code Detail

MEDICARE: HAROUTUN HARRY HOVANESIAN M.D.

MEDICARE: HAROUTUN HARRY HOVANESIAN M.D.
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
1207W00000XOphthalmology PhysicianA67565CA

General Provider Information

NPI Number : 1154341626
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAROUTUN HARRY HOVANESIAN M.D.
Provider Business Mailing Address
First Line : 4520 LITTLETON PL
Second Line :
City : LA CANADA
State : CA
Zip : 91011-1936
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 409 N CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2001
Country : US
Telephone Number : 818-265-7777
Fax Number : 818-241-0087
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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