Gagik Ignatenko
Gagik Ignatenko is a Non-emergency Medical Transport (VAN) in Glendale, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
415 E Harvard St Ste 203AGlendale, CA 91205-1045
Phone: (818) 818-4697
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence CVOP1915290 (CA) |
|---|
Record details
| NPI number | 1396323945 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2021 |
| Last updated in NPPES | April 1, 2021 |
| Certification date | March 30, 2021 |
| Mailing address | 415 E Harvard St Ste 203a, Glendale, CA 91205-1045 |
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