# ALEXANDER G GEVORGYAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neurospine Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699289660
- **Authorized official:** DR. ALEXANDER G GEVORGYAN MD (CEO - PHYSICIAN)
- **Authorized official phone:** (818) 649-9232

## Contact information

- **Practice address:** 1332 S GLENDALE AVE, GLENDALE, CA 91205-3349
- **Practice address phone:** (818) 649-9232
- **Practice address fax:** (818) 696-0922
- **Mailing address:** 1332 S GLENDALE AVE, GLENDALE, CA 91205-3349
- **Mailing address phone:** (818) 649-9232
- **Mailing address fax:** (818) 696-0922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A133154 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2017
- **Last updated:** 11/28/2018