# TEODIK GRIGORIAN DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699397885
- **Authorized official:** TEODIK GRIGORIAN DO (PROVIDER)
- **Authorized official phone:** (818) 775-5744

## Contact information

- **Practice address:** 18531 ROSCOE BLVD STE 215, NORTHRIDGE, CA 91324-5975
- **Practice address phone:** (818) 775-5744
- **Mailing address:** 18531 ROSCOE BLVD STE 215, NORTHRIDGE, CA 91324-5975
- **Mailing address phone:** (818) 775-5744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2020
- **Last updated:** 06/30/2020