Organization
MIKAYEL GRIGORYAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAYEL GRIGORYAN MD (PRESIDENT)
(650) 995-3193
Entity
Organization
Contact information
Practice address
1451 E CHEVY CHASE DR STE 201, GLENDALE, CA 91206-4056
(818) 265-2245
Mailing address
3310 SPARR BLVD, GLENDALE, CA 91208-1663
(650) 995-3193
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084V0102X
Vascular Neurology Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/19/2019
Last updated
09/12/2019
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