Medical Board of California
Licensing details for: A 204923
Name: MAKARYAN, TADEVOS TODD
License Type: Physician and Surgeon A
Primary Status: License Renewed & Current

School Name: Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine
Graduation Year: 2023
Address of Record
12612 Gilmore St
NORTH HOLLYWOOD CA 91606-1245
LOS ANGELES county
Map
License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Physician & Surgeon
Related Party Role: Postgraduate Training License
Name: MAKARYAN, TADEVOS TODD
License/Registration Type: Postgraduate Training License
License Number: 13568 Primary Status: License Canceled
Address :
12612 Gilmore St
NORTH HOLLYWOOD CA 91606-1245
LOS ANGELES COUNTY
Survey Information
The following information is self-reported by the licensee and has not been verified by the Board.
No AB 133 Survey Information Provided by Licensee



