| Organization Name: | ARMINE NAZARYAN, M.D., MEDICAL CLINIC,INC., A PROFESSIONAL CORPORATION |
| NPI Number: | 1689715070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARMINE NAZARYAN (CEO, CFO) |
| Mailing Address: | 221 S Glendale Ave Glendale |
| State: | CA US |
| Postal Code: | 912051713 |
| Phone Number: | 8185000716 |
| Fax Number: | 8185000245 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A85687 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |