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PACIFIC MULTI SPECIALTY MEDICAL GROUP INC. NPI 1538100094


NPI Information

NPI: 1538100094
Provider Name: PACIFIC MULTI SPECIALTY MEDICAL GROUP, INC.
Classification: Medical Genetics, Ph.D. Medical Genetics - 170100000X
Entity Type: Organization
Address:
127 S BRAND BLVD
SUITE 200
GLENDALE, CA
ZIP 91204
Phone: (818) 241-9100
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PACIFIC MULTI SPECIALTY MEDICAL GROUP, INC. is a medical genetics phd medical genetics in Glendale, CA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. PACIFIC MULTI SPECIALTY MEDICAL GROUP, INC. NPI is 1538100094. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

127 S BRAND BLVD
SUITE 200
GLENDALE, CA
ZIP 91204-342
Phone: (818) 241-9100
Fax: (818) 551-9634

The provider's authorized official is Vahan Madatovian .
The authorized official title is Owner and has the following contact phone number (818) 241-9100.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1170100000XMedical Genetics, Ph.D. Medical GeneticsA53748CALIFORNIANo
2170100000XMedical Genetics, Ph.D. Medical GeneticsA54463CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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