Preferred Ipa of California, a Professional Medical Corporation
NPI #1295992725 in Glendale, California
Provider Information
- NPI Number
- 1295992725
- Entity Type
- Organization
- Organization Name
- Preferred Ipa of California, a Professional Medical Corporation
- Primary Specialty
- General Practice
- Enumeration Date
- May 21, 2008
- Last Updated
- May 21, 2008
Practice Location
- Address
- 1025 N BRAND BLVD
- Address 2
- SUITE 100
- City
- Glendale
- State
- California
- ZIP Code
- 91202-2950
- Phone
- (818) 265-0800
Authorized Official
- Name
- DR. SHADAN GHAEMIAN, M.D.
- Title
- PRESIDENT
- Phone
- (818) 265-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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