Levon Antossyan Inc

LBN: Levon Antossyan Inc
Levon Antossyan Inc is an health care organization with primary practice located at 1204 S Central Ave , Glendale CA 91204-2504. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Levon Antossyan Inc can be contacted via phone (818) 551-0001, or through Antossyan, Levon via phone (818) 551-0001.

Contact Information

Primary practice address
1204 S Central Ave Glendale CA 91204-2504
Fax:
Website:
Authorized official contact:
Name: Antossyan, Levon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X A053324 California

Profile Details

NPI number 1932150224
LBN Legal business name Levon Antossyan Inc
DBA Doing business as
Authorized official Antossyan, Levon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Dec 20th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932150224 NPPES
California MEDICAID 00A533241

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