Organization
JAM MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIKOR BAGHDASSAR TATOYAN M.D, (CEO)
(818) 670-8990
Entity
Organization
Contact information
Practice address
12826 VICTORY BLVD, SUITE D, NORTH HOLLYWOOD, CA 91606-3013
(818) 670-8990
(818) 670-8991
Mailing address
12826 VICTORY BLVD, SUITE D, NORTH HOLLYWOOD, CA 91606-3013
(818) 670-8990
(818) 670-8991
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C43149
CA
Other
Enumeration date
03/05/2013
Last updated
06/25/2013
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