Individual provider · NPI-1

Dr. Edgar Agvanyan, M.D.

Family Medicine · Glendale, CA

NPI number1225288582
StatusActive
Last updated in NPPESJun 7, 2009

Details

NPI
1225288582
Entity type
Individual (NPI-1)
Name
Dr. Edgar Agvanyan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 23, 2008
Last updated
Jun 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA105325CAYes

Practice location

544 N Glendale Ave
Verdugo Hills Medical Associates
Glendale, CA 91206-3311

Phone 818-241-4331 · Fax 818-241-2253

Mailing address

544 N Glendale Ave
Verdugo Hills Medical Associates
Glendale, CA 91206-3311

Phone 818-241-4331 · Fax 818-241-2253

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