MEDICARE: DR. RAZMIG KRUMIAN D.O.

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	207Q00000X	Family Medicine Physician	20A7776	CA

General Provider Information

NPI Number	:	1720064462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAZMIG KRUMIAN D.O.

Provider Business Mailing Address
First Line	:	32144 AGOURA RD
Second Line	:	SUITE 218
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4056
Country	:	US
Telephone Number	:	818-889-9230
Fax Number	:	818-889-9235

Provider Business Practice Location Address
First Line	:	32144 AGOURA RD
Second Line	:	SUITE 218
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4031
Country	:	US
Telephone Number	:	818-889-9230
Fax Number	:	818-889-9235

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	08/11/2011

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