| David Bostanjian Md Inc | |
|
410 Arden Ave 100 Glendale CA 91203-1127 | |
| (818) 500-8466 | |
| (818) 500-9562 |
| Full Name | David Bostanjian Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 410 Arden Ave, Glendale, California |
| Authorized Official Name and Position | David Bostanjian (OWNER) |
| Authorized Official Contact | 8185008466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Bostanjian Md Inc 410 Arden Ave 100 Glendale CA 91203-1127 Ph: (818) 500-8466 | David Bostanjian Md Inc 410 Arden Ave 100 Glendale CA 91203-1127 Ph: (818) 500-8466 |
| NPI Number | 1770726754 |
|---|---|
| Provider Enumeration Date | 04/07/2009 |
| Last Update Date | 04/07/2009 |
| Medicare PECOS PAC ID | 6507918265 |
|---|---|
| Medicare Enrollment ID | O20090710000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770726754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | David Bostanjian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639399280 PECOS PAC ID: 8123114907 Enrollment ID: I20071010000475 |
Silva Karchikian, M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Arden Ave, Suite 101, Glendale, CA 91203 Phone: 818-549-9305 Fax: 818-662-8812 | |
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