SHANT BOSHNAKIAN

NORTHRIDGE, CA
NPI1114110632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 17078)
Enumeration Date2007-08-20
Last Update Date2007-08-20
Business Address
-- SHANT BOSHNAKIAN PA
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325-4105
Phone number: 818-885-8500
Mailing Address
-- SHANT BOSHNAKIAN PA
PO BOX 12410
WESTMINSTER, CA 92685-2410
Phone number: 866-234-5107
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