Individual
MR. HERACH YADEGARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S. CENTRAL AVE., SUITE 308, GLENDALE, CA 91204-4644
(818) 240-8767
(818) 502-0254
Mailing address
800 S. CENTRAL AVE., SUITE 308, GLENDALE, CA 91204-4644
(818) 240-8767
(818) 502-0254
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A49305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A493050
—
CA
Enumeration date
12/12/2006
Last updated
09/04/2009
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