Andre Basmadzhyan, D.O.
NPI #1508307745 in San Fernando, California
Provider Information
- NPI Number
- 1508307745
- Entity Type
- Individual
- Name
- Andre Basmadzhyan, D.O.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Mar 20, 2017
- Last Updated
- Nov 5, 2020
Practice Location
- Address
- 732 MOTT ST STE 100-110
- City
- San Fernando
- State
- California
- ZIP Code
- 91340-4237
- Phone
- (818) 963-5690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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