Provider Demographics
NPI:1902080849
Name:AVRAMIAN, ROBERT (CPED)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:AVRAMIAN
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7618 WOODMAN AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6534
Mailing Address - Country:US
Mailing Address - Phone:818-530-3161
Mailing Address - Fax:818-373-0010
Practice Address - Street 1:7618 WOODMAN AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6534
Practice Address - Country:US
Practice Address - Phone:818-530-3161
Practice Address - Fax:818-373-0010
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment