Individual
GRIGOR KODZHOGLYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 W COLORADO ST, 119, GLENDALE, CA 91204-1175
(818) 551-1800
(818) 551-1802
Mailing address
635 W COLORADO BLVD, 119, GLENDALE, CA 91204-2089
(818) 551-1800
(818) 551-1802
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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