GRANT KOSTIKIAN

GLENDALE, CA
NPI1578777546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Additional Taxonomies261QS1200X Clinic/Center Sleep Disorder Diagnostic
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
MR. GRANT KOSTIKIAN
1386 E GARFIELD AVE
GLENDALE, CA 91205-2660
Phone number: 818-281-8091
Mailing Address
MR. GRANT KOSTIKIAN
1386 E GARFIELD AVE
GLENDALE, CA 91205-2660
Phone number: 818-281-8091