Organization
AMWELL MEDICAL GROUP INC
Active
Other names
Amwell Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETROS HAJIAN (PRESIDENT/CEO)
(818) 855-9406
Entity
Organization
Contact information
Practice address
13094 BORDEN AVE, SYLMAR, CA 91342-4211
(818) 855-9406
(818) 475-1732
Mailing address
13094 BORDEN AVE, SYLMAR, CA 91342-4211
(818) 855-9406
(818) 475-1732
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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