Provider Demographics
NPI:1093136582
Name:ANNIE A. BARSEGHIAN MD INC
Entity Type:Organization
Organization Name:ANNIE A. BARSEGHIAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARSEGHIAN
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:626-214-5523
Mailing Address - Street 1:50 BELLEFONTAINE ST STE 301
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3132
Mailing Address - Country:US
Mailing Address - Phone:626-214-5523
Mailing Address - Fax:626-226-5923
Practice Address - Street 1:50 BELLEFONTAINE ST STE 301
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3132
Practice Address - Country:US
Practice Address - Phone:626-214-5523
Practice Address - Fax:626-226-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88615261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1134226855OtherNPI