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Dr. Levon Antossyan, MD
General Practice Physician in Glendale, California
NPI 1215118708

Levon Antossyan is a General Practice Physician based in Glendale, CA. Levon Antossyan practices in Glendale, CA and has the professional credentials of MD. The NPI Number for Levon Antossyan is 1215118708 and holds a License No. A0053324 (California).

The current practice location address for Levon Antossyan is 1204 S Central Ave, Glendale, CA and can be reached out via phone at 818-551-0001.

Location: 1204 S Central Ave, Glendale, CA, 91204-2504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215118708
Provider Name
Levon Antossyan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1204 S Central Ave, Glendale, CA, 91204-2504
Phone Number
818-551-0001
Fax Number
Provider Enumeration Date
11/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A533241 05 CA
institution
Provider Business Practice Location Address Details
Address
1204 S Central Ave
City
Glendale
State
California
Zip
91204-2504
Phone Number
818-551-0001
Fax Number
person
Provider Business Mailing Address Details
Address
1204 S Central Ave
City
Glendale
State
California
Zip
91204-2504
Phone Number
818-551-0001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A0053324 (California)
Definition
Definition to come...
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