Harut Madatovian
Family Doctor - Sports Medicine
2595 E Washington Blvd Ste 106
Pasadena
, California 91107-1409
Harut Madatovian
Family Doctor - Sports Medicine
2595 E Washington Blvd Ste 106
Pasadena
, California 91107-1409
(818) 203-1797
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Harut Madatovian
- 8239 Hatillo Ave
- Winnetka, CA
- Zip : 91306-1911
- Phone : (818) 203-1797
Second Address
- Harut Madatovian
- 2595 E Washington Blvd Ste 106
- Pasadena, CA
- Zip : 91107-1409
- Phone : (818) 203-1797
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 20A15143 | CA |
National Provider Identifier
| NPI | 1225433006 |
|---|---|
| Provider Name | Harut Madatovian |
| First Address | Winnetka, CA 91306-1911 |
| Second Address | Pasadena, CA 91107-1409 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2014 |
| Last Update Date | 05/03/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.