| |
3808 W Riverside Dr Ste 301 Burbank CA 91505-4339 | |
(818) 254-9422 | |
(818) 322-4928 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3808 W Riverside Dr Ste 301, Burbank, California |
Authorized Official Name and Position | Arsen Mkrtchyan (CEO) |
Authorized Official Contact | 8182549422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3808 W Riverside Dr Ste 301 Burbank CA 91505-4339 Ph: (818) 254-9422 | 3808 W Riverside Dr Ste 301 Burbank CA 91505-4339 Ph: (818) 254-9422 |
NPI Number | 1275158545 |
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Provider Enumeration Date | 06/12/2020 |
Last Update Date | 06/01/2023 |
Medicare PECOS PAC ID | 8628451515 |
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Medicare Enrollment ID | O20220809003833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275158545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Arsen Mkrtchyan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609136241 PECOS PAC ID: 9032428495 Enrollment ID: I20151026001647 |
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