Gagik Khoylyan, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A100597 Issued in CA

Legal business name

GAGIK KHOYLYAN, M.D., INC.

Practice address

540 N Central Ave Ste 105
Glendale, CA 91203-3350

Phone

(818) 244-2224

Fax

(818) 244-2261

NPI assigned

Nov 23, 2010

Last updated

Nov 23, 2010By 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

Debbie Diaz

Title

Administrator

Phone

(213) 385-0675

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1649572652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N CENTRAL AVE STE 105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033350",
            "telephone_number": "818-244-2224",
            "fax_number": "818-244-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGIK KHOYLYAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-385-0675"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A100597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A100597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marieta Gabrielyan
• Robert Gabrielyan, MD
• Tatevik Gabrielyan
• April Charmaine Punsal Gacuya, NP
• Gae Hospice Care. Inc.
• Anush Gagua
• Gaia Home Health
• Gaia Hospice Care
• Gail Ramsey Chiropractic, Inc.
• Wendy Gaitan

• 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 Nov 23, 2010; 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.