Organization
GREG HAROUTUNIAN,MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAGIK GREG HAROUTUNIAN MD (PRESIDENT)
(310) 282-9910
Entity
Organization
Contact information
Practice address
1332 S GLENDALE AVE, GLENDALE, CA 91205-3349
(310) 282-9910
Mailing address
311 S REXFORD DR, BEVERLY HILLS, CA 90212-4607
(310) 282-9910
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C54033
CA
261QP2300X
Primary Care Clinic/Center
C54033
CA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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