# GREG HAROUTUNIAN,MD INC

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

## Provider details

- **NPI number:** 1548535289
- **Authorized official:** DR. GAGIK GREG HAROUTUNIAN MD (PRESIDENT)
- **Authorized official phone:** (310) 282-9910

## Contact information

- **Practice address:** 1332 S GLENDALE AVE, GLENDALE, CA 91205-3349
- **Practice address phone:** (310) 282-9910
- **Mailing address:** 311 S REXFORD DR, BEVERLY HILLS, CA 90212-4607
- **Mailing address phone:** (310) 282-9910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C54033 | CA | Yes |
| 261QP2300X | Primary Care Clinic/Center | C54033 | CA | — |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012