| M Houssig Donabedian Pc | |
|
1130 Campbell St 112 Glendale CA 91207-1609 | |
| (877) 812-0376 | |
| Not Available |
| Full Name | M Houssig Donabedian Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1130 Campbell St, Glendale, California |
| Authorized Official Name and Position | Maral Donabedian (CEO) |
| Authorized Official Contact | 8778120376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M Houssig Donabedian Pc Po Box 1041 Glendale CA 91209-1041 Ph: () - | M Houssig Donabedian Pc 1130 Campbell St 112 Glendale CA 91207-1609 Ph: (877) 812-0376 |
| NPI Number | 1780984294 |
|---|---|
| Provider Enumeration Date | 10/31/2010 |
| Last Update Date | 10/31/2010 |
| Medicare PECOS PAC ID | 9436338993 |
|---|---|
| Medicare Enrollment ID | O20110131000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780984294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C54188 (California) | Primary |
| Provider Name | Maral Touna Arpi H Donabedian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588622906 PECOS PAC ID: 2466433354 Enrollment ID: I20110131000096 |
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