Individual
DR. MIKAYEL GRIGORYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1451 E CHEVY CHASE DR STE 201, GLENDALE, CA 91206-4056
(818) 265-2245
(877) 291-4895
Mailing address
3310 SPARR BLVD, GLENDALE, CA 91208-1663
(818) 253-1525
(818) 484-3573
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A107120
CA
2084N0400X
Neurology Physician
A107120
CA
2084V0102X
Vascular Neurology Physician
A107120
CA
2085N0700X
Neuroradiology Physician
A107120
CA
2085R0204X
Vascular & Interventional Radiology Physician
A107120
CA
Other
Enumeration date
05/17/2007
Last updated
11/03/2021
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