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NPI Code Detail

MEDICARE: ALBERT BAKTANIAN M.D.

MEDICARE:   ALBERT  BAKTANIAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1336176072
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT BAKTANIAN M.D.
Provider Business Mailing Address
First Line : 1030 S GLENDALE AVE
Second Line : SUITE 505
City : GLENDALE
State : CA
Zip : 91205-2866
Country : US
Telephone Number : 818-500-0888
Fax Number : 818-500-4807
Provider Business Practice Location Address
First Line : 1030 S GLENDALE AVE
Second Line : SUITE 505
City : GLENDALE
State : CA
Zip : 91205-2866
Country : US
Telephone Number : 818-500-0888
Fax Number : 818-500-4807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 03/07/2014

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Directions to “ ALBERT BAKTANIAN M.D.” Practice Location

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