Hratch D Kourouyan MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

HRATCH D KOUROUYAN MD INC

Practice address

1540 W Glenoaks Blvd Ste 101
Glendale, CA 91201-3153

Phone

(818) 247-8739

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Hratch D Kourouyan, MDNPI 1386869113

Title

President

Phone

(818) 247-8739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hratch Dirayr Kourouyan, M.D.

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1386869113

  CA, Ophthalmology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1780199034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013153",
            "telephone_number": "818-247-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GLENOAKS BLVD STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013153",
            "telephone_number": "818-247-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HRATCH D KOUROUYAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "KOUROUYAN",
        "authorized_official_first_name": "HRATCH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-247-8739",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Glendale, CA
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.