| Vachik Shahnazarian Md Inc | |
|
1030 S Glendale Ave Suite 304 Glendale CA 91205-5612 | |
| (818) 291-4041 | |
| Not Available |
| Full Name | Vachik Shahnazarian Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1030 S Glendale Ave, Glendale, California |
| Authorized Official Name and Position | Vachik Shahnazarian (PRESIDENT) |
| Authorized Official Contact | 8182914041 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vachik Shahnazarian Md Inc 1030 S Glendale Ave Suite 304 Glendale CA 91205-5612 Ph: () - | Vachik Shahnazarian Md Inc 1030 S Glendale Ave Suite 304 Glendale CA 91205-5612 Ph: (818) 291-4041 |
| NPI Number | 1972799179 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Medicare PECOS PAC ID | 7517118565 |
|---|---|
| Medicare Enrollment ID | O20121121000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972799179 | NPI | - | NPPES |
| 00A843080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A84308 (California) | Primary |
| Provider Name | Vachik Shahnazarian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447396809 PECOS PAC ID: 3779489414 Enrollment ID: I20031211000863 |
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