Individual
DR. ASTRIK DAVTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 W EULALIA ST, 301, GLENDALE, CA 91204-2849
(818) 240-0108
(818) 240-0301
Mailing address
222 W EULALIA ST, 301, GLENDALE, CA 91204-2849
(818) 240-0108
(818) 240-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54092
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A540920
—
CA
Enumeration date
05/13/2006
Last updated
07/09/2007
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