Mesrobian, Haroutioun Diccran

Mesrobian, Haroutioun Diccran is an individual health care provider with primary practice located at 660 W Broadway , Glendale CA 91204-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mesrobian, Haroutioun Diccran can be contacted via phone (818) 243-9600.

Contact Information

Primary practice address
660 W Broadway Glendale CA 91204-1008
Fax: (818) 243-9605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A48097 California

Profile Details

NPI number 1477536738
LBN Legal business name Mesrobian, Haroutioun Diccran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Dec 13th, 2011 - 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 1477536738 NPPES
California MEDICAID 00A480970

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