Provider Demographics
NPI:1598164659
Name:ALAIN KARAGUEZIAN MD PC
Entity Type:Organization
Organization Name:ALAIN KARAGUEZIAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:KARAGUEZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-772-7100
Mailing Address - Street 1:18546 ROSCOE BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4663
Mailing Address - Country:US
Mailing Address - Phone:818-772-7100
Mailing Address - Fax:818-772-7112
Practice Address - Street 1:18546 ROSCOE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4663
Practice Address - Country:US
Practice Address - Phone:818-772-7100
Practice Address - Fax:818-772-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty