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Organization

PRIME MEDICAL MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN AVETISYAN (CEO)
(747) 215-8746
Entity
Organization

Contact information

Practice address
800 S CENTRAL AVE STE 301, GLENDALE, CA 91204-4388
(747) 215-8746
Mailing address
800 S CENTRAL AVE STE 301, GLENDALE, CA 91204-4388
(747) 215-8746

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/23/2025
Last updated
09/23/2025
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