Organization
PACIFIC HEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYANE BEGOYAN M.D. (MEDICAL DOCTOR)
(818) 240-0006
Entity
Organization
Contact information
Practice address
319 S BRAND BLVD, GLENDALE, CA 91204-1701
(818) 240-0006
(818) 240-0038
Mailing address
319 S BRAND BLVD, GLENDALE, CA 91204-1701
(818) 240-0006
(818) 240-0038
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
A113904
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
A113904
CA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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