| Eduard Dudukgian M.d., A Professional Co | |
|
1300 N Vermont Ave Ste 601 Los Angeles CA 90027-6088 | |
| (323) 644-4904 | |
| Not Available |
| Full Name | Eduard Dudukgian M.d., A Professional Co |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 N Vermont Ave Ste 601, Los Angeles, California |
| Authorized Official Name and Position | Eduard Dudukgian (OWNER) |
| Authorized Official Contact | 3236444904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eduard Dudukgian M.d., A Professional Co 1300 N Vermont Ave Ste 601 Los Angeles CA 90027-6088 Ph: (323) 644-4904 | Eduard Dudukgian M.d., A Professional Co 1300 N Vermont Ave Ste 601 Los Angeles CA 90027-6088 Ph: (323) 644-4904 |
| NPI Number | 1598398539 |
|---|---|
| Provider Enumeration Date | 02/18/2020 |
| Last Update Date | 02/18/2020 |
| Medicare PECOS PAC ID | 7719391838 |
|---|---|
| Medicare Enrollment ID | O20210202001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598398539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Eduard Dudukgian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700919529 PECOS PAC ID: 3870640451 Enrollment ID: I20090420000002 |
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