Pogosian, Jacob R

Pogosian, Jacob R is an sole proprietor health care provider with primary practice located at 5242 San Fernando Rd , Glendale CA 91203-2439. He recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Ambulatory Health Care Facilities / Radiology. Laboratories / Clinical Medical Laboratory is his primary health care specialty. Pogosian, Jacob R can be contacted via phone (818) 265-0001.

Contact Information

Primary practice address
5242 San Fernando Rd Glendale CA 91203-2439
Phone: (818) 265-0001
Fax: (818) 265-0008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF333109 California
Ambulatory Health Care Facilities / Radiology 261QR0200X TG516 California

Profile Details

NPI number 1932248556
LBN Legal business name Pogosian, Jacob R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Aug 21st, 2007 - about 17 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 1932248556 NPPES
California Other CLF333109 CLIA

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