Organization
ARMINEH TAVITIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA POLADYAN (COO)
(818) 265-2210
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE, 200, GLENDALE, CA 91204-2530
(818) 637-7613
(818) 637-7616
Mailing address
1500 S CENTRAL AVE, 200, GLENDALE, CA 91204-2530
(818) 637-7613
(818) 637-7616
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G74699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G746991
—
CA
Enumeration date
01/22/2008
Last updated
01/22/2008
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