# GEORGE MUTAFYAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316182447
- **Authorized official:** GEVORG MUTAFYAN M.D. (OWNER)
- **Authorized official phone:** (818) 240-7001

## Contact information

- **Practice address:** 1510 S CENTRAL AVE, SUITE 630, GLENDALE, CA 91204-2500
- **Practice address phone:** (818) 240-7001
- **Mailing address:** 1510 S CENTRAL AVE, SUITE 630, GLENDALE, CA 91204-2500
- **Mailing address phone:** (818) 240-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2008
- **Last updated:** 12/03/2008