| Alfret Moradian Md,a Medical Corporation | |
|
1101 N Pacific Ave Suite 102 Glendale CA 91202-3250 | |
| (818) 244-9929 | |
| (818) 244-9922 |
| Full Name | Alfret Moradian Md,a Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 1101 N Pacific Ave, Glendale, California |
| Authorized Official Name and Position | Alfret Moradian (OWNER) |
| Authorized Official Contact | 8182449929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfret Moradian Md,a Medical Corporation 1101 N Pacific Ave Suite 102 Glendale CA 91202-3250 Ph: (818) 244-9929 | Alfret Moradian Md,a Medical Corporation 1101 N Pacific Ave Suite 102 Glendale CA 91202-3250 Ph: (818) 244-9929 |
| NPI Number | 1962632844 |
|---|---|
| Provider Enumeration Date | 07/25/2009 |
| Last Update Date | 09/23/2011 |
| Medicare PECOS PAC ID | 7810035201 |
|---|---|
| Medicare Enrollment ID | O20091119000312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962632844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A104840 (California) | Primary |
| Provider Name | Alfret Moradian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336303718 PECOS PAC ID: 6709937667 Enrollment ID: I20091119000311 |
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