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NPI Code Detail

MEDICARE: ALEXA BAGHDASSARIAN

MEDICARE:   ALEXA  BAGHDASSARIAN
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
1106H00000XMarriage & Family Therapist81087CA

General Provider Information

NPI Number : 1265838270
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA BAGHDASSARIAN
Provider Business Mailing Address
First Line : 16415 COLORADO AVE STE 305S
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-5053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16415 COLORADO AVE STE 305S
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-5053
Country : US
Telephone Number : 562-445-8177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 11/18/2014

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Directions to “ ALEXA BAGHDASSARIAN ” Practice Location

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