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416 E Colorado St Ste A Glendale CA 91205-5100 | |
| (626) 535-9344 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 416 E Colorado St Ste A, Glendale, California |
| Authorized Official Name and Position | Yafa Minazad (CEO) |
| Authorized Official Contact | 6265359344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
416 E. Glendale St., Suite A Glendale CA 91205-5100 Ph: () - | 416 E Colorado St Ste A Glendale CA 91205-5100 Ph: (626) 535-9344 |
| NPI Number | 1407236466 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407236466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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