Individual
ASHOT MKHITARYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6308 WOODMAN AVE STE 217, VAN NUYS, CA 91401-2397
(818) 424-5152
Mailing address
6308 WOODMAN AVE STE 217, VAN NUYS, CA 91401-2397
(818) 424-5152
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
172A00000X
Driver
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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