Edgar Avetisian

NPI #1285357202 in Sun Valley, California

Provider Information

NPI Number: 1285357202
Entity Type: Individual
Name: Edgar Avetisian
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Sep 23, 2022
Last Updated: Sep 23, 2022

Practice Location

Address: 8142 SUNLAND BLVD
City: Sun Valley
State: California
ZIP Code: 91352
Phone: (818) 582-8832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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