| Armen Nercessian Do Inc | |
|
1122 N Brand Blvd Ste 101 Glendale CA 91202-2571 | |
| (818) 552-2011 | |
| (818) 552-2012 |
| Full Name | Armen Nercessian Do Inc |
|---|---|
| Speciality | General Practice |
| Location | 1122 N Brand Blvd Ste 101, Glendale, California |
| Authorized Official Name and Position | Armen Yeghia Nercessian (PRESIDENT, OWNER, PHYSICIAN) |
| Authorized Official Contact | 8185522011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Armen Nercessian Do Inc 1122 N Brand Blvd Ste 101 Glendale CA 91202-2571 Ph: (818) 552-2011 | Armen Nercessian Do Inc 1122 N Brand Blvd Ste 101 Glendale CA 91202-2571 Ph: (818) 552-2011 |
| NPI Number | 1023390770 |
|---|---|
| Provider Enumeration Date | 09/19/2011 |
| Last Update Date | 09/19/2011 |
| Medicare PECOS PAC ID | 5193987824 |
|---|---|
| Medicare Enrollment ID | O20120425000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023390770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A6784 (California) | Primary |
| Provider Name | Armen Y Nercessian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679534374 PECOS PAC ID: 9032125034 Enrollment ID: I20120404000578 |
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