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Organization
STEPHAN GRIGORIAN MD INC
Active
Organization
STEPHAN GRIGORIAN MD INC
Active
Other names
Glenpath Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN ROBERT GRIGORIAN M.D. (OWNER / PHYSICIAN)
(818) 507-1200
Entity
Organization
Contact information
Practice address
800 S CENTRAL AVE, SUITE 208, GLENDALE, CA 91204-4370
(818) 507-1200
(818) 507-1200
Mailing address
800 S CENTRAL AVE, SUITE 208, GLENDALE, CA 91204-4370
(818) 507-1200
(818) 507-1200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A88170
CA
Other
Enumeration date
08/24/2010
Last updated
04/03/2013
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