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Individual

GINA ALEXANDRA KHACHATRIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPA

Contact information

Practice address
1505 WILSON TER STE 200, GLENDALE, CA 91206-4073
(323) 646-0716
Mailing address
3735 FAIRESTA ST, GLENDALE, CA 91214-1720
(323) 646-0716

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65972
CA

Other

Enumeration date
01/14/2025
Last updated
03/31/2025
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