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Hrach Khudatyan Md Inc
Primary Care Clinic/Center in Glendale, California
NPI 1801107511

Hrach Khudatyan Md Inc is a Primary Care Clinic/Center based in Glendale, CA and is specialized in Primary Care. Hrach Khudatyan Md Inc practices in Glendale, CA. The NPI Number for Hrach Khudatyan Md Inc is 1801107511 and holds a License No. A60871 (California).

The current practice location address for Hrach Khudatyan Md Inc is 134 N Glendale Ave, Glendale, CA and can be reached out via phone at 818-662-8858 and via fax at 818-662-8987.

Location: 134 N Glendale Ave, Glendale, CA, 91206-4451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801107511
Provider Name
Hrach Khudatyan Md Inc
Credential
Provider Entity Type
Organization
Address
134 N Glendale Ave, Glendale, CA, 91206-4451
Phone Number
818-662-8858
Fax Number
818-662-8987
Provider Enumeration Date
06/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A608711 05 CA
A60871 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
134 N Glendale Ave
City
Glendale
State
California
Zip
91206-4451
Phone Number
818-662-8858
Fax Number
818-662-8987
person
Provider Business Mailing Address Details
Address
134 N Glendale Ave
City
Glendale
State
California
Zip
91206-4451
Phone Number
818-662-8858
Fax Number
818-662-8987
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
A60871 (California)
Definition
Definition to come...
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