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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