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Andre Basmadzhyan, DO
Family Medicine Physician in San Fernando, California
NPI 1508307745

Andre Basmadzhyan is a Family Medicine Physician based in San Fernando, CA. Andre Basmadzhyan practices in San Fernando, CA and has the professional credentials of DO. The NPI Number for Andre Basmadzhyan is 1508307745 and holds a License No. (California).

The current practice location address for Andre Basmadzhyan is 732 Mott St Ste 100-110, San Fernando, CA and can be reached out via phone at 818-963-5690.

Location: 732 Mott St Ste 100-110, San Fernando, CA, 91340-4237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508307745
Provider Name
Andre Basmadzhyan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
732 Mott St Ste 100-110, San Fernando, CA, 91340-4237
Phone Number
818-963-5690
Fax Number
Provider Enumeration Date
03/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
732 Mott St Ste 100-110
City
San Fernando
State
California
Zip
91340-4237
Phone Number
818-963-5690
Fax Number
person
Provider Business Mailing Address Details
Address
732 Mott St Ste 100-110
City
San Fernando
State
California
Zip
91340-4237
Phone Number
818-963-5690
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20A18560 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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