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Organization
MEDICAL AND BEHAVIORAL HEALTH ASSOCIATES
Active
Organization
MEDICAL AND BEHAVIORAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASTRIK DAVTIAN MD, (CLINICAL DIRECTOR)
(818) 240-0108
Entity
Organization
Contact information
Practice address
222 W EULALIA ST STE 301, GLENDALE, CA 91204-2851
(818) 240-0108
(818) 240-0301
Mailing address
222 WEST EULALIA ST., SUITE # 301, GLENDALE, CA 91204
(818) 240-0108
(818) 240-0301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 21838
CA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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