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18546 Roscoe Blvd Suite 220 Northridge CA 91324-5455 | |
(818) 886-0600 | |
(818) 701-8100 |
Full Name | |
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Speciality | Clinic/center |
Location | 18546 Roscoe Blvd, Northridge, California |
Authorized Official Name and Position | Jirair Konialian (PRESIDENT) |
Authorized Official Contact | 8188860600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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18546 Roscoe Blvd Suite 220 Northridge CA 91324-5455 Ph: (818) 886-0600 | 18546 Roscoe Blvd Suite 220 Northridge CA 91324-5455 Ph: (818) 886-0600 |
NPI Number | 1811023708 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811023708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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