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NPI Code Detail

MEDICARE: NATIONWIDE IOP CENTER

MEDICARE: NATIONWIDE IOP CENTER
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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1457148868
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONWIDE IOP CENTER
Provider Business Mailing Address
First Line : 1544 CANADA BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-2837
Country : US
Telephone Number : 272-222-0002
Fax Number :
Provider Business Practice Location Address
First Line : 1544 CANADA BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-2837
Country : US
Telephone Number : 272-222-0002
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. ARMEN HARUTYUNYAN
Credential :
Telephone Number : 272-222-0002
Provider Enumeration Date : 04/21/2025
Last Update Date : 05/05/2026

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Directions to “NATIONWIDE IOP CENTER ” Practice Location

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