| Edward Kocharian Md Apc | |
|
435 Arden Ave Ste 450 Glendale CA 91203-4024 | |
| (818) 241-4129 | |
| (818) 241-0472 |
| Full Name | Edward Kocharian Md Apc |
|---|---|
| Speciality | Internal Medicine |
| Location | 435 Arden Ave Ste 450, Glendale, California |
| Authorized Official Name and Position | Jennifer Roth (BILLING MANAGER) |
| Authorized Official Contact | 8187069191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Kocharian Md Apc 435 Arden Ave Ste 450 Glendale CA 91203-4024 Ph: (818) 241-4129 | Edward Kocharian Md Apc 435 Arden Ave Ste 450 Glendale CA 91203-4024 Ph: (818) 241-4129 |
| NPI Number | 1144470220 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 6507928793 |
|---|---|
| Medicare Enrollment ID | O20081223000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144470220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C52852 (California) | Primary |
| Provider Name | Edward Kocharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790727139 PECOS PAC ID: 8224925367 Enrollment ID: I20081222000464 |
| Provider Name | Seda Badalyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558396077 PECOS PAC ID: 4486653730 Enrollment ID: I20110517000241 |
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