Dr G Khoylyan MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DR G KHOYLYAN MD INC

Practice address

5148 Sky Ridge Dr
Glendale, CA 91214

Phone

(818) 389-6962

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gagik Khoylyan, M.D.NPI 1821253261

Title

Ceo

Phone

(818) 389-6962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gagik Khoylyan, M.D.

  • Pediatrics Physician
  • Glendale, CA
  • NPI 1821253261

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1457186595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 SKY RIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148 SKY RIDGE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91214",
            "telephone_number": "818-389-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR G KHOYLYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "KHOYLYAN",
        "authorized_official_first_name": "GAGIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-389-6962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.