Millennium Medical Solutions

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MILLENNIUM MEDICAL SOLUTIONS

Practice address

1409 Ardmore Ave
Glendale, CA 91202-1515

Phone

(818) 675-6633

NPI assigned

Jan 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andranik Ghevondyan

Title

Ceo

Phone

(818) 675-6633

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1356764732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 ARDMORE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021515",
            "telephone_number": "818-675-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ARDMORE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912021515",
            "telephone_number": "818-675-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "GHEVONDYAN",
        "authorized_official_first_name": "ANDRANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-675-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Glendale, CA
• Providers in Glendale, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.