NPI 1699048413

Meditox Services INC.

Organisation Exclusive Provider Organization Glendale, CA

Practice location

Address: 410 Arden Ave STE 102, Glendale, CA 91203-4005
Phone: (818) 243-3626
Fax: (888) 664-5349
Mailing address: PO Box 4677, Glendale, CA 91222-0677

Authorised official

Name: Zaven Khanbekyan
Title: Owner
Phone: (818) 243-3626

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1699048413
Entity type: Organization
NPI issued: 10 Feb 2012
Record last updated: 7 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.