| Shoghair Mgrditchian Family And Individual Therapy Inc | |
|
2505 Foothill Blvd Ste D La Crescenta CA 91214-4555 | |
| (661) 524-9932 | |
| (661) 524-9950 |
| Full Name | Shoghair Mgrditchian Family And Individual Therapy Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2505 Foothill Blvd Ste D, La Crescenta, California |
| Authorized Official Name and Position | Shoghair Mgrditchian (LMFT/OWNER) |
| Authorized Official Contact | 6266446632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoghair Mgrditchian Family And Individual Therapy Inc 9558 Inspiration Way Tujunga CA 91042-3018 Ph: () - | Shoghair Mgrditchian Family And Individual Therapy Inc 2505 Foothill Blvd Ste D La Crescenta CA 91214-4555 Ph: (661) 524-9932 |
| NPI Number | 1851008189 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 9638618861 |
|---|---|
| Medicare Enrollment ID | O20240830002931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851008189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Shoghair Christine Mgrditchian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1063557767 PECOS PAC ID: 0547709776 Enrollment ID: I20240830002977 |
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