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Contact Information

LENA AVEDISSIAN, MD
1004 FOWLER WAY
SUITE 4
PLACERVILLE, CA95667-5746
 Phone: 530-626-9488
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LENA AVEDISSIAN · (Female)

NPI Number 1215985494
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 03/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C140632
Hospital affiliation(s)
  • MARSHALL MEDICAL CENTER (1-RH) - (Acute Care)
    1100 MARSHALL WAY
    PLACERVILLE, CA 95667
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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