# JAM MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1437490166
- **Authorized official:** DR. KRIKOR BAGHDASSAR TATOYAN M.D, (CEO)
- **Authorized official phone:** (818) 670-8990

## Contact information

- **Practice address:** 12826 VICTORY BLVD, SUITE D, NORTH HOLLYWOOD, CA 91606-3013
- **Practice address phone:** (818) 670-8990
- **Practice address fax:** (818) 670-8991
- **Mailing address:** 12826 VICTORY BLVD, SUITE D, NORTH HOLLYWOOD, CA 91606-3013
- **Mailing address phone:** (818) 670-8990
- **Mailing address fax:** (818) 670-8991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C43149 | CA | Yes |

## Other

- **Enumeration date:** 03/05/2013
- **Last updated:** 06/25/2013