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Organization
YERVAND SET-AGAYAN DO INC
Active
Organization
YERVAND SET-AGAYAN DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YERVAND SET-AGAYAN (OWNER)
(818) 507-8181
Entity
Organization
Contact information
Practice address
1330 S GLENDALE AVE, GLENDALE, CA 91205-3349
(818) 507-8181
(818) 507-9431
Mailing address
1330 S GLENDALE AVE, GLENDALE, CA 91205-3349
(818) 507-8181
(818) 507-9431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A9932
LICENSE NUMBER
—
Enumeration date
02/10/2009
Last updated
02/10/2009
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