Individual
DR. DAVID BOSTANJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 ARDEN AVE, 100, GLENDALE, CA 91203-1127
(818) 500-8466
(818) 500-9562
Mailing address
410 ARDEN AVE, 100, GLENDALE, CA 91203-1127
(818) 500-8466
(818) 500-9562
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A97613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A97613
PHYSICIAN AND SEGEON CERT
CA
Enumeration date
04/26/2007
Last updated
03/27/2017
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