Organization
GHAZARYAN MD INC
Active
Organization
GHAZARYAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEVORG GHAZARYAN MD (CEO)
(818) 453-5192
Entity
Organization
Contact information
Practice address
1100 E BROADWAY STE 205, GLENDALE, CA 91205-2490
(818) 453-5192
(818) 452-0716
Mailing address
1100 E BROADWAY STE 205, GLENDALE, CA 91205-2490
(818) 453-5192
(818) 452-0716
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
06/09/2024
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