Baghoumian Medical Inc. | |
435 Arden Ave 310 Glendale CA 91203-1130 | |
(818) 649-1847 | |
(819) 649-1848 |
Full Name | Baghoumian Medical Inc. |
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Speciality | Internal Medicine |
Location | 435 Arden Ave, Glendale, California |
Authorized Official Name and Position | Hamlet Baghoumian (PRESIDENT) |
Authorized Official Contact | 8184694564 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Baghoumian Medical Inc. 435 Arden Ave 310 Glendale CA 91203-1130 Ph: (818) 649-1847 | Baghoumian Medical Inc. 435 Arden Ave 310 Glendale CA 91203-1130 Ph: (818) 649-1847 |
NPI Number | 1730570672 |
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Provider Enumeration Date | 02/13/2015 |
Last Update Date | 02/13/2015 |
Medicare PECOS PAC ID | 0345567699 |
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Medicare Enrollment ID | O20150325000673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730570672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A70293 (California) | Primary |
Provider Name | Hamlet Baghoumian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134239353 PECOS PAC ID: 8325003270 Enrollment ID: I20041119001036 |
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