Individual provider · Type 1 NPI
Tatevik Balasanyan
Diagnostic Ultrasound Physician · Sherwood Forest, CA
NPI number
1194392076
Active
Practice location
17251 Gresham St
Sherwood Forest, CA 91325-3207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Ultrasound Physician Primary | 2085U0001X | 254139 (CA) |
Diagnostic Ultrasound Physician: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
About NPI 1194392076
Tatevik Balasanyan's National Provider Identifier is 1194392076, issued on Jun 8, 2021. The primary taxonomy on file is Diagnostic Ultrasound Physician (2085U0001X), and the practice location is in Sherwood Forest, CA. The record was last updated on Jun 8, 2021.