Organization
PACIFIC MULTI SPECIALTY MEDICAL GROUP, INC.
Active
Organization
PACIFIC MULTI SPECIALTY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAHAN MADATOVIAN MD (OWNER)
(818) 241-9100
Entity
Organization
Contact information
Practice address
127 S BRAND BLVD, SUITE 200, GLENDALE, CA 91204-1342
(818) 241-9100
(818) 551-9634
Mailing address
127 S BRAND BLVD, SUITE 200, GLENDALE, CA 91204-1342
(818) 241-9100
(818) 551-9634
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
A53748
CA
170100000X
Ph.D. Medical Genetics
Primary
A54463
CA
Other
Enumeration date
06/08/2006
Last updated
12/02/2010
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