| Edvin Dilanchiyan Md Inc | |
|
1509 Wilson Ter Glendale CA 91206-4007 | |
| (818) 823-0347 | |
| Not Available |
| Full Name | Edvin Dilanchiyan Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1509 Wilson Ter, Glendale, California |
| Authorized Official Name and Position | Edvin Dilanchiyan (PROVIDER) |
| Authorized Official Contact | 8188230347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edvin Dilanchiyan Md Inc 1934 Calle Sirena Glendale CA 91208-3033 Ph: (818) 823-0347 | Edvin Dilanchiyan Md Inc 1509 Wilson Ter Glendale CA 91206-4007 Ph: (818) 823-0347 |
| NPI Number | 1447726849 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 3971844556 |
|---|---|
| Medicare Enrollment ID | O20190409000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447726849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Edvin Dilanchiyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245483700 PECOS PAC ID: 9830369123 Enrollment ID: I20140116000025 |
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