Organization
LA MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE APIKYAN ANP (PRESIDENT)
(818) 696-2156
Entity
Organization
Contact information
Practice address
501 W GLENOAKS BLVD STE 200, GLENDALE, CA 91202-4045
(818) 696-2156
(818) 396-4448
Mailing address
501 W GLENOAKS BLVD STE 200, GLENDALE, CA 91202-4045
(818) 696-2156
(818) 396-4448
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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