Organization
INNOVATIVE MEDICAL CARE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MANUKYAN NP (AUTHORIZED OFFICIAL/OWNER)
(323) 600-5213
Entity
Organization
Contact information
Practice address
3527 OCEAN VIEW BLVD, GLENDALE, CA 91208
(747) 745-7771
(818) 484-2430
Mailing address
3527 OCEAN VIEW BLVD, GLENDALE, CA 91208-1211
(323) 600-5213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
10/17/2023
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