Individual
ARMIK TADEVOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14418 CHASE ST STE 200, PANORAMA CITY, CA 91402-3022
(818) 830-9500
Mailing address
1017 E WINDSOR RD, GLENDALE, CA 91205-2411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3709
CAS #
CA
Enumeration date
04/24/2007
Last updated
07/08/2007
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