# AGABABIAN MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376871566
- **Authorized official:** GOR AGABABIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 246-1824

## Contact information

- **Practice address:** 800 S CENTRAL AVE STE 301, GLENDALE, CA 91204-4388
- **Practice address phone:** (818) 246-1824
- **Mailing address:** 800 S CENTRAL AVE STE 301, GLENDALE, CA 91204-4388
- **Mailing address phone:** (818) 246-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A93668 | CA | Yes |

## Other

- **Enumeration date:** 11/26/2009
- **Last updated:** 08/13/2012