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121 W Lexington Dr Suite 300 Glendale CA 91203-2203 | |
| (818) 240-4311 | |
| (818) 240-4318 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 W Lexington Dr, Glendale, California |
| Authorized Official Name and Position | Tahereh Pirhekayaty (CEO EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2133811250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
121 W Lexington Dr Suite 300 Glendale CA 91203-2203 Ph: (818) 240-4311 | 121 W Lexington Dr Suite 300 Glendale CA 91203-2203 Ph: (818) 240-4311 |
| NPI Number | 1346371754 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/16/2021 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346371754 | NPI | - | NPPES |
| 7547 | Other | CA | MEDICAL PROVIDER NO. |
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