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Organization
MEDICAL CENTER OF TOLUCA LAKE
Active
Organization
MEDICAL CENTER OF TOLUCA LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARDAN TADEVOSYAN (CEO)
(323) 483-8888
Entity
Organization
Contact information
Practice address
10718 RIVERSIDE DR UNIT A, NORTH HOLLYWOOD, CA 91602-2313
(323) 483-8888
Mailing address
10718 RIVERSIDE DR UNIT A, UNIT A, NORTH HOLLYWOOD, CA 91602-2313
(323) 483-8888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/03/2025
Last updated
12/30/2025
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