Organization Name: | LILIT BALTAIAN MD INC |
NPI Number: | 1508109794 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LILIT BALTAIAN (M.D.) |
Mailing Address: | 7412 Foothill Blvd Tujunga |
State: | CA US |
Postal Code: | 910422722 |
Phone Number: | 8186257770 |
Fax Number: | 8184090181 |
NPI Enumeration Date: | 04/05/2013 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |