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Organization

STEPANYAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NARE STEPANYAN (MD)
(954) 675-3257
Entity
Organization

Contact information

Practice address
801 S CHEVY CHASE DR STE 201, GLENDALE, CA 91205-4435
(954) 675-3257
Mailing address
801 S CHEVY CHASE DR STE 201, GLENDALE, CA 91205-4435

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
390200000X
STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM
CA
Enumeration date
01/06/2017
Last updated
01/06/2017
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