Edgar Albertovich Khachatryan

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Practice address

1227 Campbell St
Glendale, CA 91207-1445

Phone

(747) 228-4111

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1447974449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 CAMPBELL ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071445",
            "telephone_number": "747-228-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 CAMPBELL ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912071445",
            "telephone_number": "747-228-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATRYAN",
        "first_name": "EDGAR",
        "middle_name": "ALBERTOVICH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narbeh Khachatoorian, PHARMD
• Ani Khachatoorians, PT, DPT
• Christ Khachatourians
• Edwin Khachatourians, PA-C
• Mariam Noemi Khachatrian, DDS
• Elba Albertovna Khachatryan
• Hakob Khachatryan, DPT
• Hamlet Khachatryan
• Irina Khachatryan
• Mariam Kareni Khachatryan, NP

• Assisted Living Facility (Mental Illness) in Glendale, CA
• Providers in Glendale, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.