| Doctor Name: | GREGORY ARKADIEVICH TOVMASSIAN |
| NPI Number: | 1043589211 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | E4971 |
| Business Practice Address: | 6600 Mercy Ct Ste 150 Fair Oaks, CA - 956283190 |
| Business Phone Number: | 9164594398 |
| Business Fax Number: | 9169656715 |
| Mailing Address: | 6600 Mercy Ct Ste 150, FAIR OAKS |
| State: | CA |
| Postal Code: | 956283190 |
| Phone Number: | 9164594398 |
| Fax Number: | 9169656715 |
| NPI Enumeration Date: | 12/17/2011 |
| NPI Last Update Date: | 09/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4971 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |