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Contact Information

AGOP AINTABLIAN MD INC
416 E COLORADO
SUITE # A
GLENDALE, CA91205
 Phone: 818-507-1305
 Fax: 818-507-4786
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AGOP AINTABLIAN MD INC

NPI Number 1871656603
LBN Legal business name AGOP AINTABLIAN MD INC
Authorized official AGOP AINTABLIAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 05/22/2014 - About 12 years ago
Identifiers
CA License # 42615
CA Medicaid 00C393000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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