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Dr. Hermoz B Ayvazian, DPM
Foot & Ankle Surgery Podiatrist in Glendale, California
NPI 1760564272

Hermoz B Ayvazian is a Foot & Ankle Surgery Podiatrist based in Glendale, CA and is specialized in Foot & Ankle Surgery. Hermoz B Ayvazian practices in Glendale, CA and has the professional credentials of DPM. The NPI Number for Hermoz B Ayvazian is 1760564272 and holds a License No. E3761 (California).

The current practice location address for Hermoz B Ayvazian is 110 S Adams St, Glendale, CA and can be reached out via phone at 818-242-4426 and via fax at 818-242-4409.

Location: 110 S Adams St, Glendale, CA, 91205-1312
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Provider Profile Details
NPI Number
1760564272
Provider Name
Hermoz B Ayvazian
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
110 S Adams St, Glendale, CA, 91205-1312
Phone Number
818-242-4426
Fax Number
818-242-4409
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E37610 05 CA
E3761 01 CA BLUE CROSS
4320950001 01 CA DMERC ID
05D0856782 01 CA CLIA
200858800 01 CA US DEPT OF LABOR
ZZZ60226Z 01 CA BLUE SHIELD
480027586 01 CA RAILROAD MEDICARE
954745477 01 CA TAX ID
institution
Provider Business Practice Location Address Details
Address
110 S Adams St
City
State
Zip
91205-1312
Phone Number
818-242-4426
Fax Number
818-242-4409
person
Provider Business Mailing Address Details
Address
110 S Adams St
City
State
Zip
91205-1312
Phone Number
818-242-4426
Fax Number
818-242-4409
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E3761 (California)
Definition
Definition to come...
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