Organization
PACIFIC MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROOBINA M KARAPETIAN CLS (PRESIDENT)
(818) 578-5180
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE STE 211, TARZANA, CA 91356-1309
(818) 578-5180
Mailing address
9731 BOTHWELL RD, NORTHRIDGE, CA 91324-1612
(818) 231-7687
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTA-00026525
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
05/31/2020
Last updated
05/31/2020
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