Organization
KHACHATRIAN MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA KHACHATRIAN M.D. (PRESIDENT)
(818) 759-0095
Entity
Organization
Contact information
Practice address
12643 SHERMAN WAY STE I, NORTH HOLLYWOOD, CA 91605-5272
(818) 759-0095
(818) 759-0049
Mailing address
12643 SHERMAN WAY STE I, NORTH HOLLYWOOD, CA 91605-5272
(818) 759-0095
(818) 759-0049
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A69378
CA
Other
Enumeration date
10/14/2010
Last updated
12/07/2010
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