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NPI Code Detail

MEDICARE: KARINE GABRIELIAN M.D.

MEDICARE: KARINE GABRIELIAN 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 PhysicianA66613CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A66613OTHERCALICENSE NUMBER

General Provider Information

NPI Number : 1740388982
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARINE GABRIELIAN M.D.
Provider Business Mailing 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
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 : 09/20/2006
Last Update Date : 07/08/2007

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