| Doctor Name: | DR. VAHE PANOSSIAN |
| NPI Number: | 1255359964 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | A66450 |
| Business Practice Address: | 10 Congress St Suite 103 Pasadena, CA - 911053023 |
| Business Phone Number: | 6267950282 |
| Business Fax Number: | |
| Mailing Address: | 10 Congress St, Suite 103 PASADENA |
| State: | CA |
| Postal Code: | 911053023 |
| Phone Number: | 6267950282 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | A66450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |