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NPI Code Detail

MEDICARE: GARO ZAVEN PEHLEVANIAN M.D.

MEDICARE:   GARO ZAVEN PEHLEVANIAN  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
1207RC0000XCardiovascular Disease PhysicianA38617CA

Other Identifiers

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

General Provider Information

NPI Number : 1417919507
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARO ZAVEN PEHLEVANIAN M.D.
Provider Business Mailing Address
First Line : 5250 SANTA MONICA BLVD
Second Line : SUITE 207
City : LOS ANGELES
State : CA
Zip : 90029-1252
Country : US
Telephone Number : 323-664-0857
Fax Number : 323-664-9702
Provider Business Practice Location Address
First Line : 5250 SANTA MONICA BLVD
Second Line : SUITE 207
City : LOS ANGELES
State : CA
Zip : 90029-1252
Country : US
Telephone Number : 323-664-0857
Fax Number : 323-664-9702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 12/30/2009

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Directions to “ GARO ZAVEN PEHLEVANIAN M.D.” Practice Location

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