Alice Abrahamian MD, a Medical Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A117100 Issued in CA

Legal business name

ALICE ABRAHAMIAN MD, A MEDICAL CORPORATION

Practice address

411 N Central Ave Ste 130
Glendale, CA 91203-2092

Phone

(818) 550-1965

Fax

(818) 550-1966

NPI assigned

Oct 14, 2014

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alice Abrahamian, M.D.NPI 1801161856

Title

Pediatrician/Ceo

Phone

(818) 550-1965

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alice Abrahamian, M.D.

  • Pediatrics Physician
  • Glendale, CA
  • NPI 1801161856
  NPD Authorized official

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1770987158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE STE 130",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032092",
            "telephone_number": "818-550-1965",
            "fax_number": "818-550-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N CENTRAL AVE STE 130",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032092",
            "telephone_number": "818-550-1965",
            "fax_number": "818-550-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE ABRAHAMIAN MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMIAN",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "PEDIATRICIAN/CEO",
        "authorized_official_telephone_number": "818-550-1965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A117100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.