Organization
STEPHAN GRIGORIAN MD INC
Active
Other names
Glenpath Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN ROBERT GRIGORIAN M.D. (OWNER / PHYSICIAN)
(818) 507-1200
Entity
Organization
Contact information
Practice address
800 S CENTRAL AVE, SUITE 208, GLENDALE, CA 91204-4370
(818) 507-1200
(818) 507-1200
Mailing address
800 S CENTRAL AVE, SUITE 208, GLENDALE, CA 91204-4370
(818) 507-1200
(818) 507-1200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A88170
CA
Other
Enumeration date
08/24/2010
Last updated
04/03/2013
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