| Agababian Medical Clinic, Inc | |
|
800 S Central Ave Ste 301 Glendale CA 91204-4388 | |
| (818) 246-1824 | |
| Not Available |
| Full Name | Agababian Medical Clinic, Inc |
|---|---|
| Speciality | General Practice |
| Location | 800 S Central Ave Ste 301, Glendale, California |
| Authorized Official Name and Position | Gor Agababian (PRESIDENT) |
| Authorized Official Contact | 8182461824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agababian Medical Clinic, Inc 800 S Central Ave Ste 301 Glendale CA 91204-4388 Ph: (818) 246-1824 | Agababian Medical Clinic, Inc 800 S Central Ave Ste 301 Glendale CA 91204-4388 Ph: (818) 246-1824 |
| NPI Number | 1376871566 |
|---|---|
| Provider Enumeration Date | 11/26/2009 |
| Last Update Date | 08/13/2012 |
| Medicare PECOS PAC ID | 0648312017 |
|---|---|
| Medicare Enrollment ID | O20100122000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376871566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A93668 (California) | Primary |
| Provider Name | Gor Agababian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063442143 PECOS PAC ID: 4789687351 Enrollment ID: I20060821000504 |
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