| Jack Sarkisian | |
|
1030 S Glendale Ave Ste 404 Glendale CA 91205-2866 | |
| (818) 240-9911 | |
| (818) 240-9939 |
| Full Name | Jack Sarkisian |
|---|---|
| Speciality | Family Medicine |
| Location | 1030 S Glendale Ave Ste 404, Glendale, California |
| Authorized Official Name and Position | Maria Sarkisan (VICE PRESIDENT) |
| Authorized Official Contact | 8182409911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Sarkisian 1030 S Glendale Ave Ste 404 Glendale CA 91205-2866 Ph: (818) 240-9911 | Jack Sarkisian 1030 S Glendale Ave Ste 404 Glendale CA 91205-2866 Ph: (818) 240-9911 |
| NPI Number | 1265564496 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 02/01/2013 |
| Medicare PECOS PAC ID | 5799978870 |
|---|---|
| Medicare Enrollment ID | O20101116000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265564496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A43433 (California) | Primary |
| Provider Name | David M Rekar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497963938 PECOS PAC ID: 5294721809 Enrollment ID: I20040421000206 |
| Provider Name | Asmik Akopyan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003838061 PECOS PAC ID: 9537107099 Enrollment ID: I20050426000352 |
| Provider Name | Jeko Behfarin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689686875 PECOS PAC ID: 0941217228 Enrollment ID: I20060310000435 |
| Provider Name | Armen Avetisyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972909406 PECOS PAC ID: 7315200300 Enrollment ID: I20230825002700 |
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