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Contact Information

NORMA H KASSARDJIAN, MD
30280 RANCHO VIEJO ROAD
SAN JUAN CAPISTRANO, CA92675
 Phone: 949-248-1632
 Fax: 949-248-7321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for NORMA H KASSARDJIAN · (Female)

NPI Number 1982797775
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 07/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G65294
  • CA Other 00G652940 BLUE SHIELD
  • CA Other 92675C004 TRICARE WPS
Hospital affiliation(s) Not Available
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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