Organization
ATHENACARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA PETROSYAN (CEO)
(818) 858-3087
Entity
Organization
Contact information
Practice address
3857 FOOTHILL BLVD STE 1C, GLENDALE, CA 91214-1653
(818) 858-3087
Mailing address
3857 FOOTHILL BLVD STE 1C, GLENDALE, CA 91214-1653
(818) 858-3087
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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