MEDICAL AND BEHAVIORAL HEALTH ASSOCIATES


Address: 222 W Eulalia St Ste 301, Glendale, CA 91204-2851
Phone: 8182400108

MEDICAL AND BEHAVIORAL HEALTH ASSOCIATES (NPI# 1528372125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528372125
Entity Type Organization
Organization Name MEDICAL AND BEHAVIORAL HEALTH ASSOCIATES
Practice Address 222 W Eulalia St Ste 301
Glendale
CA 91204-2851
Mailing Address 222 West Eulalia St.
Suite # 301
Glendale
CA 91204
Practice Telephone 8182400108
Practice Fax Number 8182400301
Mailing Telephone 8182400108
Mailing Fax Number 8182400301
Enumeration Date 2010-08-06
Last Update Date 2010-08-06
Authorized Official Name DR. ASTRIK DAVTIAN (CLINICAL DIRECTOR)
Authorized Official Telephone 8182400108
Authorized Official Credential MD,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY 21838 CA Behavioral Health & Social Service Providers

Office Location

Street Address 222 W EULALIA ST STE 301
City GLENDALE
State CA
Zip Code 91204-2851

Providers in the same location

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City GLENDALE
Zip Code 91204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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