Jaclyn Sonia Agopian MPAP, PA-C

NPI 1053629121 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053629121
Gender Female
Enumeration Date 09/22/2010
Last Updated 11/16/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
4836 VAN NUYS BLVD
SHERMAN OAKS CA, 91403-2101, US
Phone (818) 907-7546
Fax (818) 907-9506
Business Location
4836 VAN NUYS BLVD
SHERMAN OAKS CA, 91403-2101, US
Phone (818) 907-7546
Fax (818) 907-9506
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA21026
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According to our database, Ms. Jaclyn Sonia Agopian MPAP, PA-C NPI is 1053629121, taxonomy code is 363AM0700X and license number is PA21026, license state is located at California. Jaclyn Sonia Agopian MPAP, PA-C physically located at 4836 Van Nuys Blvd, Sherman Oaks CA, 91403-2101. NPI Number Jaclyn Sonia Agopian MPAP, PA-C has the Individual type.

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1053629121 NPI number is provided on an as is basis without warranty of any kind. 1053629121 is maintained by the National Plan & Provider Enumeration System. The contents of Jaclyn Sonia Agopian MPAP, PA-C are for informational purposes only.