Individual
AGOP AINTABLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 E COLORADO AVE, SUITE A, GLENDALE, CA 91205
(818) 507-1305
(818) 507-4786
Mailing address
416 E COLORADO AVE, SUITE A, GLENDALE, CA 91205
(818) 507-1305
(818) 507-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42615
CA
207RC0000X
Cardiovascular Disease Physician
Primary
42615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C393000
—
CA
Enumeration date
09/14/2006
Last updated
09/11/2025
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