| Tavitian Gastroenterology Medical Group Inc. | |
|
801 South Chevy Chase Drive #102 Glendale CA 91205 | |
| (818) 242-8916 | |
| (818) 241-7708 |
| Full Name | Tavitian Gastroenterology Medical Group Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 801 South Chevy Chase Drive #102, Glendale, California |
| Authorized Official Name and Position | Ara Tavitian (OWNER) |
| Authorized Official Contact | 8182428916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavitian Gastroenterology Medical Group Inc. 801 South Chevy Chase Drive #102 Glendale CA 91205 Ph: (818) 242-8916 | Tavitian Gastroenterology Medical Group Inc. 801 South Chevy Chase Drive #102 Glendale CA 91205 Ph: (818) 242-8916 |
| NPI Number | 1215992367 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215992367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (California) | Primary |
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