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Joseph Kerendian

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NPI Number Detailed Information

Provider Information:

Name: Joseph Kerendian
Gender: M
Provider License Number If Given: G75439

NPI Information:

NPI: 1386643815
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 7/9/2007

Provider Business Mailing Address:

Address: 17075 DEVONSHIRE ST SUITE 307
Northridge, CA 91325
Phone Number: 8188325551
Fax Number: 8188320124

Provider Business Practice Location Address:

Address: 17075 DEVONSHIRE ST SUITE 307
Northridge, CA 91325
Phone Number: 8188325551
Fax Number: 8188320124

Provider Taxonomy:

Primary: 207W00000X
Secondary (if any):
State: CA

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