Healthcare Provider Details

I. General information

NPI: 1972036309
Provider Name (Legal Business Name): CONCORD HOSPITALIST GROUP A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 VERDUGO BLVD
GLENDALE CA
91208-1407
US

IV. Provider business mailing address

PO BOX 597
MONTROSE CA
91021-0597
US

V. Phone/Fax

Practice location:
  • Phone: 818-246-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: NARBEH TOVMASSIAN
Title or Position: OWNER
Credential: M.D.
Phone: 818-246-8000