| Embrace Family Medicine Corporation | |
|
501 W Glenoaks Blvd Ste 205 Glendale CA 91202-4042 | |
| (818) 549-9630 | |
| Not Available |
| Full Name | Embrace Family Medicine Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 501 W Glenoaks Blvd Ste 205, Glendale, California |
| Authorized Official Name and Position | Harut Madatovian (PHYSICIAN) |
| Authorized Official Contact | 8182031797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Family Medicine Corporation 501 W Glenoaks Blvd Ste 205 Glendale CA 91202-4042 Ph: () - | Embrace Family Medicine Corporation 501 W Glenoaks Blvd Ste 205 Glendale CA 91202-4042 Ph: (818) 549-9630 |
| NPI Number | 1205439320 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 9234529488 |
|---|---|
| Medicare Enrollment ID | O20211202002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205439320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harut M Madatovian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225433006 PECOS PAC ID: 4789950288 Enrollment ID: I20171028000340 |
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