| Agop Aintablian Md Inc | |
|
416 E Colorado Suite # A Glendale CA 91205 | |
| (818) 507-1305 | |
| (818) 507-4786 |
| Full Name | Agop Aintablian Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 416 E Colorado, Glendale, California |
| Authorized Official Name and Position | Agop Aintablian (PRESIDENT) |
| Authorized Official Contact | 8185071305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agop Aintablian Md Inc 416 E Colorado Suite # A Glendale CA 91205 Ph: (818) 507-1305 | Agop Aintablian Md Inc 416 E Colorado Suite # A Glendale CA 91205 Ph: (818) 507-1305 |
| NPI Number | 1871656603 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871656603 | NPI | - | NPPES |
| 00C393000 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42615 (California) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 42615 (California) | Secondary |
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