Nare Stepanyan Md Inc | |
1030 S Glendale Ave Ste 503 Glendale CA 91205-2820 | |
(818) 547-3380 | |
Not Available |
Full Name | Nare Stepanyan Md Inc |
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Speciality | Family Medicine |
Location | 1030 S Glendale Ave Ste 503, Glendale, California |
Authorized Official Name and Position | Nare Stepanyan (PRESIDENT) |
Authorized Official Contact | 9546753257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nare Stepanyan Md Inc 1030 S Glendale Ave Ste 503 Glendale CA 91205-2820 Ph: (818) 547-3380 | Nare Stepanyan Md Inc 1030 S Glendale Ave Ste 503 Glendale CA 91205-2820 Ph: (818) 547-3380 |
NPI Number | 1508498130 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 02/11/2020 |
Medicare PECOS PAC ID | 8426488602 |
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Medicare Enrollment ID | O20200501000611 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508498130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Nare Stepanyan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003386558 PECOS PAC ID: 1456698117 Enrollment ID: I20190204001354 |
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