Provider Demographics
NPI:1922649540
Name:RAZMIK THOMASSIAN MD APC
Entity Type:Organization
Organization Name:RAZMIK THOMASSIAN MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAZMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-473-0355
Mailing Address - Street 1:3746 FOOTHILL BLVD # 506
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1740
Mailing Address - Country:US
Mailing Address - Phone:818-473-0355
Mailing Address - Fax:818-473-0015
Practice Address - Street 1:1227 BUENA VISTA ST STE F
Practice Address - Street 2:
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-2486
Practice Address - Country:US
Practice Address - Phone:877-254-4496
Practice Address - Fax:818-473-0015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-04
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center