Antossyan, Levon
Antossyan, Levon is an individual health care provider with primary practice located at 1204 S Central Ave , Glendale CA 91204-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Antossyan, Levon can be contacted via phone (818) 551-0001.Contact Information
Primary practice address
1204 S Central Ave
Glendale CA 91204-2504
Phone: (818) 551-0001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A0053324 | California |
Profile Details
| NPI number | 1215118708 |
|---|---|
| LBN Legal business name | Antossyan, Levon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 26th, 2007 |
| Last updated | Feb 29th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215118708 | NPPES |
| California | MEDICAID | 00A533241 |
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