| Tsovinar Tekkelian,m.d.,inc. | |
|
1251 S Glendale Ave Glendale CA 91205-3204 | |
| (818) 500-9393 | |
| (818) 500-1046 |
| Full Name | Tsovinar Tekkelian,m.d.,inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1251 S Glendale Ave, Glendale, California |
| Authorized Official Name and Position | Tsovinar Tekkelian (PHYSICIAN) |
| Authorized Official Contact | 8185009393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsovinar Tekkelian,m.d.,inc. 540 N Central Ave #207 Glendale CA 91203-1916 Ph: (818) 500-9393 | Tsovinar Tekkelian,m.d.,inc. 1251 S Glendale Ave Glendale CA 91205-3204 Ph: (818) 500-9393 |
| NPI Number | 1376881847 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 4587685680 |
|---|---|
| Medicare Enrollment ID | O20130305000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376881847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52251 (California) | Primary |
| Provider Name | Tsovinar Tekkelian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558447607 PECOS PAC ID: 2860413960 Enrollment ID: I20051216000501 |
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