# LA MEDICAL CLINIC INC

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

## Provider details

- **NPI number:** 1790242758
- **Authorized official:** LUSINE APIKYAN ANP (PRESIDENT)
- **Authorized official phone:** (818) 696-2156

## Contact information

- **Practice address:** 501 W GLENOAKS BLVD STE 200, GLENDALE, CA 91202-4045
- **Practice address phone:** (818) 696-2156
- **Practice address fax:** (818) 396-4448
- **Mailing address:** 501 W GLENOAKS BLVD STE 200, GLENDALE, CA 91202-4045
- **Mailing address phone:** (818) 696-2156
- **Mailing address fax:** (818) 396-4448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 02/26/2019