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Organization

AOSTA CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VAHE SUKIASYAN PSYD (PRESIDENT)
(818) 395-3778
Entity
Organization

Contact information

Practice address
800 S CENTRAL AVE STE 207, GLENDALE, CA 91204-4388
(818) 395-3778
(818) 697-9099
Mailing address
800 S CENTRAL AVE STE 207, GLENDALE, CA 91204-4388
(818) 395-3778
(818) 697-9099

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/28/2023
Last updated
03/28/2023
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