| H Goenjian Psychiatry Inc | |
|
2600 Redondo Ave Long Beach CA 90806-2325 | |
| (562) 304-1740 | |
| Not Available |
| Full Name | H Goenjian Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2600 Redondo Ave, Long Beach, California |
| Authorized Official Name and Position | Haig Goenjian (OWNER/PROVIDER) |
| Authorized Official Contact | 3107401777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H Goenjian Psychiatry Inc 4707 La Villa Marina Unit A Marina Del Rey CA 90292-7011 Ph: () - | H Goenjian Psychiatry Inc 2600 Redondo Ave Long Beach CA 90806-2325 Ph: (562) 304-1740 |
| NPI Number | 1326632761 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Medicare PECOS PAC ID | 3577952779 |
|---|---|
| Medicare Enrollment ID | O20211109002694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326632761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Haig Goenjian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831487438 PECOS PAC ID: 2163703133 Enrollment ID: I20170105001484 |
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