| Organization Name: | LUGO-COLON & TOVANYAN MEDICAL GROUP INC |
| NPI Number: | 1528389822 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROOT TOVANYAN (CFO) |
| Mailing Address: | 11650 Riverside Dr Ste 6 North Hollywood |
| State: | CA US |
| Postal Code: | 916021066 |
| Phone Number: | 8189801221 |
| Fax Number: | 8189803221 |
| NPI Enumeration Date: | 06/21/2010 |
| NPI Last Update Date: | 06/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A107410 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |