Organization Name: | ARMEN NERCESSIAN DO INC |
NPI Number: | 1023390770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARMEN YEGHIA NERCESSIAN (PRESIDENT, OWNER, PHYSICIAN) |
Mailing Address: | 1122 N Brand Blvd Ste 101 Glendale |
State: | CA US |
Postal Code: | 912022571 |
Phone Number: | 8185522011 |
Fax Number: | 8185522012 |
NPI Enumeration Date: | 09/19/2011 |
NPI Last Update Date: | 09/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A6784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |