# ALBERT BAKTANIAN MD INC APMC

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

## Provider details

- **NPI number:** 1386954154
- **Authorized official:** DR. ALBERT BAKTANIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 500-0888

## Contact information

- **Practice address:** 1030 S GLENDALE AVE, SUITE 505, GLENDALE, CA 91205-5612
- **Practice address phone:** (818) 500-0888
- **Practice address fax:** (818) 500-4807
- **Mailing address:** 1030 S GLENDALE AVE, SUITE 505, GLENDALE, CA 91205-5612
- **Mailing address phone:** (818) 500-0888
- **Mailing address fax:** (818) 500-4807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A41358 | CA | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 03/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A413580 | — | CA |
| 01 | — | A41358 | MEDICAL LICENSE | CA |