# DAVID BOSTANJIAN MD INC

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

## Provider details

- **NPI number:** 1770726754
- **Authorized official:** DAVID BOSTANJIAN (OWNER)
- **Authorized official phone:** (818) 500-8466

## Contact information

- **Practice address:** 410 ARDEN AVE, 100, GLENDALE, CA 91203-1127
- **Practice address phone:** (818) 500-8466
- **Practice address fax:** (818) 500-9562
- **Mailing address:** 410 ARDEN AVE, 100, GLENDALE, CA 91203-1127
- **Mailing address phone:** (818) 500-8466
- **Mailing address fax:** (818) 500-9562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/07/2009