Individual
ELBA ALBERTOVNA KHACHATRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 CAMPBELL ST, GLENDALE, CA 91207-1445
(747) 228-4111
(747) 444-4031
Mailing address
1227 CAMPBELL ST, GLENDALE, CA 91207-1445
(747) 228-4111
(747) 444-4031
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
Primary
—
CA
Other
Enumeration date
07/26/2019
Last updated
06/22/2026
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