Organization
TAVITIAN GASTROENTEROLOGY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARA TAVITIAN M.D. (OWNER)
(818) 242-8916
Entity
Organization
Contact information
Practice address
801 SOUTH CHEVY CHASE DRIVE #102, GLENDALE, CA 91205
(818) 242-8916
(818) 241-7708
Mailing address
801 SOUTH CHEVY CHASE DRIVE #102, GLENDALE, CA 91205
(818) 242-8916
(818) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
CA
Other
Enumeration date
04/20/2006
Last updated
08/22/2020
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