Individual
AZAT BOGIKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
247 W GLENOAKS BLVD, GLENDALE, CA 91202-2951
(818) 843-8555
(818) 840-7014
Mailing address
247 W GLENOAKS BLVD, GLENDALE, CA 91202-2951
(818) 243-3668
(818) 240-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A84922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0 563 792 1
ECFMG
CA
01
—
A84922
LICENSE
CA
Enumeration date
07/14/2006
Last updated
03/07/2023
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