Organization
COLUMBIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOVIK SIMITYAN (OFFICE MANAGER)
(323) 664-4114
Entity
Organization
Contact information
Practice address
1211 N VERMONT AVE, SUITE 205, LOS ANGELES, CA 90029-1748
(323) 664-4114
(323) 664-4144
Mailing address
1211 N VERMONT AVE, SUITE 205, LOS ANGELES, CA 90029-1748
(323) 664-4114
(323) 664-4144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G36895
CA
208D00000X
General Practice Physician
G36895
CA
Other
Enumeration date
04/17/2007
Last updated
03/12/2008
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