Organization
VIDA FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIGEN VICK ABOVIAN M.D. (MEDICAL DIRECTOR/PRESIDENT)
(818) 588-8178
Entity
Organization
Contact information
Practice address
435 ARDEN AVE, SUITE # 330, GLENDALE, CA 91203-4016
(818) 548-8001
Mailing address
PO BOX 5869, GLENDALE, CA 91221-5869
(818) 588-8178
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A106757
CA
Other
Enumeration date
10/05/2010
Last updated
02/07/2014
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