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Organization
ARTINE KOKSHANIAN, M.D. INC.
Active
Organization
ARTINE KOKSHANIAN, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTINE KOKSHANIAN M.D. (PRESIDENT)
(818) 240-4283
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 506, GLENDALE, CA 91205-5612
(818) 240-4283
(818) 240-4624
Mailing address
1030 S GLENDALE AVE, SUITE 506, GLENDALE, CA 91205-5612
(818) 240-4283
(818) 240-4624
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A30124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A301244
—
CA
Enumeration date
08/15/2016
Last updated
08/15/2016
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