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NPI Code Detail

MEDICARE: DR. SAHAG ARAM BAGHDASSARIAN M.D.

MEDICARE: DR. SAHAG ARAM BAGHDASSARIAN 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
1207W00000XOphthalmology PhysicianC40105CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598849846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAHAG ARAM BAGHDASSARIAN M.D.
Provider Business Mailing Address
First Line : 1310 S CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2506
Country : US
Telephone Number : 818-548-5858
Fax Number : 818-500-8355
Provider Business Practice Location Address
First Line : 1310 S CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2506
Country : US
Telephone Number : 818-548-5858
Fax Number : 818-500-8355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/05/2016

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