| Organization Name: | MAISSIAN MEDICAL ASSOCIATES |
| NPI Number: | 1043667660 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEVORK MAISSIAN (MEDICAL DIRECTOR) |
| Mailing Address: | 16912 San Fernando Mission Blvd Granada Hills |
| State: | CA US |
| Postal Code: | 913444249 |
| Phone Number: | 8183901987 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2016 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 20A10524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |