Teodik Grigorian DO Inc

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

TEODIK GRIGORIAN DO INC

Practice address

18531 Roscoe Blvd Ste 215
Northridge, CA 91324-5975

Phone

(818) 775-5744

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Teodik Grigorian, DO

Title

Provider

Phone

(818) 775-5744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1699397885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245975",
            "telephone_number": "818-775-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245975",
            "telephone_number": "818-775-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEODIK GRIGORIAN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "GRIGORIAN",
        "authorized_official_first_name": "TEODIK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "818-775-5744",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Cardiac Electrophysiology Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.