| Mkhitaryan Medical Corp | |
|
1030 S Glendale Ave Ste 307 Glendale CA 91205-2866 | |
| (818) 220-7191 | |
| Not Available |
| Full Name | Mkhitaryan Medical Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 S Glendale Ave Ste 307, Glendale, California |
| Authorized Official Name and Position | Vahe Mkhitaryan (CEO) |
| Authorized Official Contact | 8182207191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkhitaryan Medical Corp 1030 S Glendale Ave Ste 307 Glendale CA 91205-2866 Ph: (818) 220-7191 | Mkhitaryan Medical Corp 1030 S Glendale Ave Ste 307 Glendale CA 91205-2866 Ph: (818) 220-7191 |
| NPI Number | 1659145746 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 08/20/2024 |
| Medicare PECOS PAC ID | 2163874298 |
|---|---|
| Medicare Enrollment ID | O20240115000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659145746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Vahe Mkhitaryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689137838 PECOS PAC ID: 6608242490 Enrollment ID: I20221019002022 |
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