Provider Demographics
NPI:1467482133
Name:KONYALIAN, VIKEN RAZMIG (MD)
Entity type:Individual
Prefix:
First Name:VIKEN
Middle Name:RAZMIG
Last Name:KONYALIAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:701 E 28TH ST
Mailing Address - Street 2:#314
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-2759
Mailing Address - Country:US
Mailing Address - Phone:714-615-1870
Mailing Address - Fax:562-981-9318
Practice Address - Street 1:701 E 28TH ST
Practice Address - Street 2:#314
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2759
Practice Address - Country:US
Practice Address - Phone:714-615-1870
Practice Address - Fax:562-981-9318
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
CAA78310208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABK7780871OtherDEA