| Grigor M. Harutunian, M.d., Inc. | |
|
1215 S Central Ave Glendale CA 91204-2503 | |
| (818) 937-9944 | |
| (888) 980-1149 |
| Full Name | Grigor M. Harutunian, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1215 S Central Ave, Glendale, California |
| Authorized Official Name and Position | Grigor Michael Harutunian (PRESIDENT) |
| Authorized Official Contact | 8189379944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grigor M. Harutunian, M.d., Inc. 1215 S Central Ave Glendale CA 91204-2503 Ph: (818) 937-9944 | Grigor M. Harutunian, M.d., Inc. 1215 S Central Ave Glendale CA 91204-2503 Ph: (818) 937-9944 |
| NPI Number | 1851737738 |
|---|---|
| Provider Enumeration Date | 05/17/2013 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 0345488029 |
|---|---|
| Medicare Enrollment ID | O20130608000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851737738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A111421 (California) | Primary |
| Provider Name | Grigor Michael Harutunian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568692101 PECOS PAC ID: 1254579931 Enrollment ID: I20130712000177 |
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