| Alen Mirzaian, Md Inc | |
|
1818 Verdugo Blvd Ste 401 Glendale CA 91208-1421 | |
| (818) 790-1145 | |
| (818) 790-6387 |
| Full Name | Alen Mirzaian, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1818 Verdugo Blvd Ste 401, Glendale, California |
| Authorized Official Name and Position | Alen Mirzaian (MD/PRESIDENT) |
| Authorized Official Contact | 8187901145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alen Mirzaian, Md Inc 2155 Verdugo Blvd # 24 Montrose CA 91020-1628 Ph: (818) 790-1145 | Alen Mirzaian, Md Inc 1818 Verdugo Blvd Ste 401 Glendale CA 91208-1421 Ph: (818) 790-1145 |
| NPI Number | 1255669362 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 06/06/2023 |
| Medicare PECOS PAC ID | 2961544747 |
|---|---|
| Medicare Enrollment ID | O20100115000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255669362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A88445 (California) | Primary |
| Provider Name | Alen Mirzaian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209554 PECOS PAC ID: 2466489927 Enrollment ID: I20050726000992 |
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