MEDICARE: RAZMIK OHANJANIAN MD

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
1	207RC0000X	Cardiovascular Disease Physician	A52219	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265488845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAZMIK OHANJANIAN MD

Provider Business Mailing Address
First Line	:	511 WESTERN AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2870
Country	:	US
Telephone Number	:	818-240-5588
Fax Number	:	818-240-3148

Provider Business Practice Location Address
First Line	:	511 WESTERN AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2870
Country	:	US
Telephone Number	:	818-240-5588
Fax Number	:	818-240-3148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	09/10/2010

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