Individual
TIGRAN KHACHATRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
660 W BROADWAY, GLENDALE, CA 91204-1008
(818) 243-9600
Mailing address
660 W BROADWAY, GLENDALE, CA 91204-1008
(818) 243-9600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A127412
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A127412
CA
207RI0011X
Interventional Cardiology Physician
A127412
CA
Other
Enumeration date
05/14/2012
Last updated
12/04/2020
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