Provider Demographics
NPI:1689616153
Name:HOVSEPIAN, PAUL G (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:G
Last Name:HOVSEPIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11 E ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-4802
Mailing Address - Country:US
Mailing Address - Phone:626-872-6215
Mailing Address - Fax:626-872-2855
Practice Address - Street 1:11 E ADAMS AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-4802
Practice Address - Country:US
Practice Address - Phone:626-872-6215
Practice Address - Fax:626-872-2855
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA401173207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease