| Karo Isagholian Md Inc | |
|
900 N Pacific Ave Glendale CA 91203-3644 | |
| (818) 244-8241 | |
| (818) 244-8260 |
| Full Name | Karo Isagholian Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 N Pacific Ave, Glendale, California |
| Authorized Official Name and Position | Karo Isagholian (PRESIDENT) |
| Authorized Official Contact | 8182448241 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karo Isagholian Md Inc 900 N Pacific Ave Glendale CA 91203-3644 Ph: (818) 244-8241 | Karo Isagholian Md Inc 900 N Pacific Ave Glendale CA 91203-3644 Ph: (818) 244-8241 |
| NPI Number | 1194867473 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 06/03/2016 |
| Medicare PECOS PAC ID | 7315003027 |
|---|---|
| Medicare Enrollment ID | O20090304000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194867473 | NPI | - | NPPES |
| 00A738250 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A73825 (California) | Primary |
| Provider Name | Karo Isagholian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326078528 PECOS PAC ID: 2860414471 Enrollment ID: I20051223000195 |
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