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NPI Code Detail

MEDICARE: HAGOP JAVAHIRYAN

MEDICARE: HAGOP JAVAHIRYAN
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1922172246
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAGOP JAVAHIRYAN
Provider Business Mailing Address
First Line : 919 S GLENDALE AVE
Second Line : UNIT A3
City : GLENDALE
State : CA
Zip : 91205-2803
Country : US
Telephone Number : 818-409-8910
Fax Number : 818-409-8930
Provider Business Practice Location Address
First Line : 919 S GLENDALE AVE
Second Line : UNIT A3
City : GLENDALE
State : CA
Zip : 91205-2803
Country : US
Telephone Number : 818-409-8910
Fax Number : 818-409-8930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

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Directions to “ HAGOP JAVAHIRYAN ” Practice Location

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