| Stephan Simonian Md Apc | |
|
1141 N Brand Blvd Suite # 306 Glendale CA 91202-2511 | |
| (818) 551-1118 | |
| (818) 551-1955 |
| Full Name | Stephan Simonian Md Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1141 N Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Stephan Simonian (PRESIDENT) |
| Authorized Official Contact | 8185511118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephan Simonian Md Apc 1141 N Brand Blvd Suite # 306 Glendale CA 91202-2511 Ph: (818) 551-1118 | Stephan Simonian Md Apc 1141 N Brand Blvd Suite # 306 Glendale CA 91202-2511 Ph: (818) 551-1118 |
| NPI Number | 1871810374 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 06/08/2010 |
| Medicare PECOS PAC ID | 4789714551 |
|---|---|
| Medicare Enrollment ID | O20100605000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871810374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Stephan Simonian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104924208 PECOS PAC ID: 1557262086 Enrollment ID: I20040117000189 |
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