| Organization Name: | AGABABIAN MEDICAL CLINIC, INC |
| NPI Number: | 1376871566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GOR AGABABIAN (PRESIDENT) |
| Mailing Address: | 800 S Central Ave Ste 301 Glendale |
| State: | CA US |
| Postal Code: | 912044388 |
| Phone Number: | 8182461824 |
| Fax Number: | |
| NPI Enumeration Date: | 11/26/2009 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A93668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |