| Armine Nazaryan, M.d., Medical Clinic,inc., A Professional Corporation | |
|
221 S Glendale Ave Glendale CA 91205-1713 | |
| (818) 500-0716 | |
| (818) 500-0245 |
| Full Name | Armine Nazaryan, M.d., Medical Clinic,inc., A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 221 S Glendale Ave, Glendale, California |
| Authorized Official Name and Position | Armine Nazaryan (CEO, CFO) |
| Authorized Official Contact | 8185000716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Armine Nazaryan, M.d., Medical Clinic,inc., A Professional Corporation 221 S Glendale Ave Glendale CA 91205-1713 Ph: (818) 500-0716 | Armine Nazaryan, M.d., Medical Clinic,inc., A Professional Corporation 221 S Glendale Ave Glendale CA 91205-1713 Ph: (818) 500-0716 |
| NPI Number | 1689715070 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 07/28/2009 |
| Medicare PECOS PAC ID | 6002969375 |
|---|---|
| Medicare Enrollment ID | O20090804000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689715070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A85687 (California) | Primary |
| Provider Name | Armine Nazaryan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972505444 PECOS PAC ID: 6901834183 Enrollment ID: I20050728001257 |
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