# ARTINE KOKSHANIAN, M.D. INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1447705876
- **Authorized official:** DR. ARTINE KOKSHANIAN M.D. (PRESIDENT)
- **Authorized official phone:** (818) 240-4283

## Contact information

- **Practice address:** 1030 S GLENDALE AVE, SUITE 506, GLENDALE, CA 91205-5612
- **Practice address phone:** (818) 240-4283
- **Practice address fax:** (818) 240-4624
- **Mailing address:** 1030 S GLENDALE AVE, SUITE 506, GLENDALE, CA 91205-5612
- **Mailing address phone:** (818) 240-4283
- **Mailing address fax:** (818) 240-4624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A30124 | CA | Yes |

## Other

- **Enumeration date:** 08/15/2016
- **Last updated:** 08/15/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A301244 | — | CA |