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Agavni Tishchyan
NPI 1457186926 · on the registry since 2024
Practice
- Address
- 18600 Eccles St
Northridge, CA 91324 - Phone
- (619) 335-5261
Additional practice sites
- 5005 Texas St Ste 106, San Diego, CA
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California