| Yervand Darven Set-agayan Do Pc | |
|
800 S Central Ave Unit # 306 Glendale CA 91204-4370 | |
| (818) 383-6789 | |
| (818) 242-4022 |
| Full Name | Yervand Darven Set-agayan Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 800 S Central Ave, Glendale, California |
| Authorized Official Name and Position | Yervand William Set-agayan (PRESIDENT) |
| Authorized Official Contact | 8183836789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yervand Darven Set-agayan Do Pc 800 S Central Ave Unit # 306 Glendale CA 91204-4370 Ph: (818) 383-6789 | Yervand Darven Set-agayan Do Pc 800 S Central Ave Unit # 306 Glendale CA 91204-4370 Ph: (818) 383-6789 |
| NPI Number | 1437384914 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Medicare PECOS PAC ID | 3476605858 |
|---|---|
| Medicare Enrollment ID | O20090715000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437384914 | NPI | - | NPPES |
| 20A9932 | Other | CA | LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A9932 (California) | Primary |
| Provider Name | Yervand W Set-agayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023216173 PECOS PAC ID: 3072695071 Enrollment ID: I20080130000202 |
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