Organization
ALBERT BAKTANIAN MD INC APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT BAKTANIAN MD (PRESIDENT)
(818) 500-0888
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 505, GLENDALE, CA 91205-5612
(818) 500-0888
(818) 500-4807
Mailing address
1030 S GLENDALE AVE, SUITE 505, GLENDALE, CA 91205-5612
(818) 500-0888
(818) 500-4807
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A41358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A413580
—
CA
01
—
A41358
MEDICAL LICENSE
CA
Enumeration date
10/14/2010
Last updated
03/07/2014
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