| Mcla Psychiatric Medical Group | |
|
1560 E Chevy Chase Drive Suite 130 Glendale CA 91206-4140 | |
| (818) 240-0340 | |
| (818) 545-7672 |
| Full Name | Mcla Psychiatric Medical Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1560 E Chevy Chase Drive, Glendale, California |
| Authorized Official Name and Position | Lukas Alexanian (PRESIDENT) |
| Authorized Official Contact | 8182400340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcla Psychiatric Medical Group 1560 E Chevy Chase Drive Suite 130 Glendale CA 91206-4140 Ph: (818) 240-0340 | Mcla Psychiatric Medical Group 1560 E Chevy Chase Drive Suite 130 Glendale CA 91206-4140 Ph: (818) 240-0340 |
| NPI Number | 1083681290 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 2961390281 |
|---|---|
| Medicare Enrollment ID | O20040309000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083681290 | NPI | - | NPPES |
| Provider Name | Lukas Alexanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780646331 PECOS PAC ID: 8527956846 Enrollment ID: I20040315000602 |
| Provider Name | Levon A Ter Bagdasarian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891793089 PECOS PAC ID: 6103801428 Enrollment ID: I20040621001989 |
| Provider Name | Robert D Rosenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437110400 PECOS PAC ID: 0042283533 Enrollment ID: I20040813000409 |
| Provider Name | Irena S Westmoreland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568496024 PECOS PAC ID: 5294703302 Enrollment ID: I20040916001381 |
| Provider Name | Kevork K Iskenderian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932112455 PECOS PAC ID: 3274596259 Enrollment ID: I20041110000735 |
| Provider Name | Alda M. Fenster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568766483 PECOS PAC ID: 8325224314 Enrollment ID: I20110509000198 |
| Provider Name | Cynthia Lynn Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073752549 PECOS PAC ID: 4587889027 Enrollment ID: I20140625002177 |
| Provider Name | Cristian Penciu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538329693 PECOS PAC ID: 0244485506 Enrollment ID: I20170920004199 |
| Provider Name | Artin Alexandrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417443136 PECOS PAC ID: 9335483031 Enrollment ID: I20181206003225 |
| Provider Name | Matthew M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649825696 PECOS PAC ID: 4082047170 Enrollment ID: I20191203002525 |
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