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Organization

UNIVERSAL PRIMARY CARE

Active
Other names
Endocrinology Office
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FLORA POLADYAN (COO)
(818) 265-2210
Entity
Organization

Contact information

Practice address
801 SOUTH CHEVY CHASE DR, #102, GLENDALE, CA 91205
(818) 226-5224
(818) 241-7708
Mailing address
801 S CHEVY CHASE DR, 102, GLENDALE, CA 91205-4431
(818) 226-5224
(818) 241-7708

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0059756
CA
Enumeration date
04/20/2006
Last updated
06/08/2012
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