Organization
AGOP AINTABLIAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGOP AINTABLIAN MD (PRESIDENT)
(818) 507-1305
Entity
Organization
Contact information
Practice address
416 E COLORADO, SUITE # A, GLENDALE, CA 91205
(818) 507-1305
(818) 507-4786
Mailing address
416 E COLORADO, SUITE # A, GLENDALE, CA 91205
(818) 507-1305
(818) 507-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42615
CA
207RC0000X
Cardiovascular Disease Physician
42615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C393000
—
CA
Enumeration date
12/19/2006
Last updated
05/22/2014
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