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NPI Code Detail

MEDICARE: HEALTHIER LIFESTYLE MEDICAL GROUP INC

MEDICARE: HEALTHIER LIFESTYLE MEDICAL GROUP INC
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1902421480
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHIER LIFESTYLE MEDICAL GROUP INC
Provider Business Mailing Address
First Line : 350 ARDEN AVE STE 100
Second Line :
City : GLENDALE
State : CA
Zip : 91203-1110
Country : US
Telephone Number : 818-906-4466
Fax Number : 818-475-1785
Provider Business Practice Location Address
First Line : 350 ARDEN AVE STE 100
Second Line :
City : GLENDALE
State : CA
Zip : 91203-1110
Country : US
Telephone Number : 818-906-4466
Fax Number :
Authorized Official
Title or Position : ADMIN
Name : ANUSH MNATSAKANYAN
Credential : ADMINISTRATOR
Telephone Number : 818-906-4466
Provider Enumeration Date : 06/10/2020
Last Update Date : 04/11/2023

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Directions to “HEALTHIER LIFESTYLE MEDICAL GROUP INC ” Practice Location

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