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Organization

MADATOVIAN MEDICAL CLINIC, INC.

Active
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Organization

MADATOVIAN MEDICAL CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VAHAN MADATOVIAN M.D. (PHYSICIAN)
(818) 549-9630
Entity
Organization

Contact information

Practice address
501 W GLENOAKS BLVD STE 205, GLENDALE, CA 91202-4042
(818) 549-9630
(818) 549-9631
Mailing address
501 W GLENOAKS BLVD STE 205, GLENDALE, CA 91202-4042
(818) 549-9630
(818) 549-9631

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A53748
CA

Other

Enumeration date
11/29/2010
Last updated
11/30/2010
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