Organization
KARINE TAGMAZYAN MD, MPH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINE TAGMAZYAN MD (PRESIDENT)
(818) 334-5330
Entity
Organization
Contact information
Practice address
1251 S GLENDALE AVE, GLENDALE, CA 91205-3204
(818) 334-5330
Mailing address
PO BOX 11412, GLENDALE, CA 91226-7412
(818) 334-5330
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A122509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122509
CA LICENSE
CA
Enumeration date
10/02/2014
Last updated
10/22/2014
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