Amaiak Chilingaryan, M.d., Inc | |
800 S Central Ave 307 Glendale CA 91204-4370 | |
(818) 646-1414 | |
(818) 646-1441 |
Full Name | Amaiak Chilingaryan, M.d., Inc |
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Speciality | Psychiatry & Neurology |
Location | 800 S Central Ave, Glendale, California |
Authorized Official Name and Position | Amaiak Chilingaryan (PRESIDENT) |
Authorized Official Contact | 8186461414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amaiak Chilingaryan, M.d., Inc 800 S Central Ave 307 Glendale CA 91204-4370 Ph: (818) 646-1414 | Amaiak Chilingaryan, M.d., Inc 800 S Central Ave 307 Glendale CA 91204-4370 Ph: (818) 646-1414 |
NPI Number | 1194062133 |
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Provider Enumeration Date | 01/10/2013 |
Last Update Date | 08/05/2014 |
Medicare PECOS PAC ID | 0648410498 |
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Medicare Enrollment ID | O20130628000232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194062133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A113714 (California) | Primary |
Provider Name | Amaiak Chilingaryan |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1134433568 PECOS PAC ID: 3173763927 Enrollment ID: I20130628000273 |
Provider Name | Jora Hovsepian |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275117632 PECOS PAC ID: 9537551676 Enrollment ID: I20220121000844 |
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