Jam Medical Group Inc | |
12826 Victory Blvd Suite D North Hollywood CA 91606-3013 | |
(818) 670-8990 | |
(818) 670-8991 |
Full Name | Jam Medical Group Inc |
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Speciality | General Practice |
Location | 12826 Victory Blvd, North Hollywood, California |
Authorized Official Name and Position | Krikor Baghdassar Tatoyan (CEO) |
Authorized Official Contact | 8186708990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jam Medical Group Inc 12826 Victory Blvd Suite D North Hollywood CA 91606-3013 Ph: (818) 670-8990 | Jam Medical Group Inc 12826 Victory Blvd Suite D North Hollywood CA 91606-3013 Ph: (818) 670-8990 |
NPI Number | 1437490166 |
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Provider Enumeration Date | 03/05/2013 |
Last Update Date | 06/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437490166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | C43149 (California) | Primary |
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