| Herach Yadegarian, M.d., A Medical Corporation | |
|
800 S. Central Ave. Suite 308 Glendale CA 91204-4644 | |
| (818) 240-8767 | |
| (818) 502-0254 |
| Full Name | Herach Yadegarian, M.d., A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 800 S. Central Ave., Glendale, California |
| Authorized Official Name and Position | Herach Yadegarian (PRESIDENT) |
| Authorized Official Contact | 8182408767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herach Yadegarian, M.d., A Medical Corporation 800 S. Central Ave. Suite 308 Glendale CA 91204-4644 Ph: (818) 240-8767 | Herach Yadegarian, M.d., A Medical Corporation 800 S. Central Ave. Suite 308 Glendale CA 91204-4644 Ph: (818) 240-8767 |
| NPI Number | 1790817039 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 09/09/2009 |
| Medicare PECOS PAC ID | 3678671104 |
|---|---|
| Medicare Enrollment ID | O20070607000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790817039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| 208D00000X | General Practice | (California) | Secondary |
| Provider Name | Herach Yadegarian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124188628 PECOS PAC ID: 7618921818 Enrollment ID: I20070607000334 |
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