Khudatyan, Hrach

Khudatyan, Hrach is an individual health care provider with primary practice located at 134 N Glendale Ave , Glendale CA 91206-4451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Khudatyan, Hrach can be contacted via phone (818) 662-8858.

Contact Information

Primary practice address
134 N Glendale Ave Glendale CA 91206-4451
Fax: (818) 662-8987
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A60871 California

Profile Details

NPI number 1720050032
LBN Legal business name Khudatyan, Hrach
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720050032 NPPES
California MEDICAID 00A608711

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