| Bogikian Medical Corporation | |
|
247 W Glenoaks Blvd Glendale CA 91202-2951 | |
| (818) 240-3737 | |
| (818) 240-3158 |
| Full Name | Bogikian Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 247 W Glenoaks Blvd, Glendale, California |
| Authorized Official Name and Position | Azat Bogikian (PRESIDENT) |
| Authorized Official Contact | 8182403737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bogikian Medical Corporation 247 W Glenoaks Blvd Glendale CA 91202-2951 Ph: (818) 240-3737 | Bogikian Medical Corporation 247 W Glenoaks Blvd Glendale CA 91202-2951 Ph: (818) 240-3737 |
| NPI Number | 1194066969 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 04/22/2013 |
| Medicare PECOS PAC ID | 0749425122 |
|---|---|
| Medicare Enrollment ID | O20130408000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194066969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A84922 (California) | Primary |
| Provider Name | Azat Bogikian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821014085 PECOS PAC ID: 8426026923 Enrollment ID: I20040922000821 |
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