| West Coast Doctors Medical Group | |
|
814 E Broadway # 1 Glendale CA 91205-1218 | |
| (818) 265-5040 | |
| (818) 242-1411 |
| Full Name | West Coast Doctors Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 814 E Broadway # 1, Glendale, California |
| Authorized Official Name and Position | Narine Arutyounian (PRESIDENT) |
| Authorized Official Contact | 8182655040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Doctors Medical Group 814 E Broadway # 1 Glendale CA 91205-1218 Ph: (818) 265-5040 | West Coast Doctors Medical Group 814 E Broadway # 1 Glendale CA 91205-1218 Ph: (818) 265-5040 |
| NPI Number | 1467648329 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 06/16/2008 |
| Medicare PECOS PAC ID | 2466489133 |
|---|---|
| Medicare Enrollment ID | O20050725000593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467648329 | NPI | - | NPPES |
| 00A724680 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A72468 (California) | Primary |
| Provider Name | Narine Arutyounian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841248309 PECOS PAC ID: 1052482361 Enrollment ID: I20110216001107 |
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