Individual
MANUK MIKE CHULYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 404, GLENDALE, CA 91205-5612
(818) 240-9911
(818) 240-9939
Mailing address
1222 N ALEXANDRIA AVE, LOS ANGELES, CA 90029-1404
(323) 370-3729
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21380
CA
Other
Enumeration date
05/10/2011
Last updated
07/18/2013
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