Provider Demographics
NPI:1295129492
Name:EYVAZIAN, VAUGHN ARAM (MD)
Entity type:Individual
Prefix:DR
First Name:VAUGHN
Middle Name:ARAM
Last Name:EYVAZIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RONALD REAGAN UCLA MEDICAL CTR
Mailing Address - Street 2:DEPARTMENT OF MEDICINE 757 WESTWOOD PLAZA SUITE 7501
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-7414
Mailing Address - Country:US
Mailing Address - Phone:310-825-7375
Mailing Address - Fax:
Practice Address - Street 1:RONALD REAGAN UCLA MEDICAL CTR
Practice Address - Street 2:DEPARTMENT OF MEDICINE 757 WESTWOOD PLAZA SUITE 7501
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-7414
Practice Address - Country:US
Practice Address - Phone:310-825-7375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA146289207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program