Antossyan, Levon

Antossyan, Levon is an individual health care provider with primary practice located at 1204 S Central Ave , Glendale CA 91204-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Antossyan, Levon can be contacted via phone (818) 551-0001.

Contact Information

Primary practice address
1204 S Central Ave Glendale CA 91204-2504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A0053324 California

Profile Details

NPI number 1215118708
LBN Legal business name Antossyan, Levon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Feb 29th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215118708 NPPES
California MEDICAID 00A533241

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