Individual
GORE C KHACHATRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 N SAN FERNANDO BLVD, BURBANK, CA 91504-4236
(818) 843-9900
Mailing address
1000 S FREMONT AVE UNIT 7, ALHAMBRA, CA 91803-8897
(714) 595-7494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64597
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/11/2022
Last updated
02/15/2025
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