Individual
SEVADA ANTONYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1154 NORTON AVE, GLENDALE, CA 91202-2029
(818) 439-0165
Mailing address
1154 NORTON AVE, GLENDALE, CA 91202-2029
(818) 439-0165
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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