| Minas Kochumian Md A Medical Corporation | |
|
18251 Roscoe Blvd Suite 202 Northridge CA 91325 | |
| (818) 709-5154 | |
| (818) 709-5190 |
| Full Name | Minas Kochumian Md A Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 18251 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Minas Kochumian (CEO) |
| Authorized Official Contact | 8187095154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minas Kochumian Md A Medical Corporation Po Box 27206 Los Angeles CA 90027-0206 Ph: (213) 385-0675 | Minas Kochumian Md A Medical Corporation 18251 Roscoe Blvd Suite 202 Northridge CA 91325 Ph: (818) 709-5154 |
| NPI Number | 1407805500 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407805500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A54808 (California) | Primary |
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