| Davit Shahbazyan, | |
|
13027 Victory Blvd # 526, North Hollywood, CA 91606-2925 | |
| (650) 680-8033 | |
| Not Available |
| Full Name | Davit Shahbazyan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 13027 Victory Blvd # 526, North Hollywood, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407573967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 302904 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jam Sports Inc | 8921303959 | 2 |
| California Luna Care Physical Therapy Pc | 9638427834 | 626 |
| Provider Name | Jam Sports Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962895805 PECOS PAC ID: 8921303959 Enrollment ID: O20160229001757 |
| Provider Name | California Luna Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Davit Shahbazyan, 13027 Victory Blvd # 526, North Hollywood, CA 91606-2925 Ph: (650) 680-8033 | Davit Shahbazyan, 13027 Victory Blvd # 526, North Hollywood, CA 91606-2925 Ph: (650) 680-8033 |
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