Individual
HAGOP JACK MKROYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1111 N BRAND BLVD STE 312, GLENDALE, CA 91202-3071
(323) 230-0017
Mailing address
1111 N BRAND BLVD STE 312, GLENDALE, CA 91202-3071
(323) 230-0017
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
841786
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012171
CA
Other
Enumeration date
07/18/2019
Last updated
04/26/2024
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