Provider Demographics
NPI:1720064462
Name:KRUMIAN, RAZMIG (DO)
Entity Type:Individual
Prefix:DR
First Name:RAZMIG
Middle Name:
Last Name:KRUMIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32144 AGOURA RD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4056
Mailing Address - Country:US
Mailing Address - Phone:818-889-9230
Mailing Address - Fax:818-889-9235
Practice Address - Street 1:32144 AGOURA RD
Practice Address - Street 2:SUITE 218
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4031
Practice Address - Country:US
Practice Address - Phone:818-889-9230
Practice Address - Fax:818-889-9235
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A7776207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH81125Medicare UPIN
CA20A7776Medicare PIN