Grigor M. Harutunian, M.D., Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A111421 Issued in CA

Legal business name

GRIGOR M. HARUTUNIAN, M.D., INC.

Practice address

1215 S Central Ave
Glendale, CA 91204-2503

Phone

(818) 937-9944

Fax

(888) 980-1149

NPI assigned

May 17, 2013

Last updated

Jun 20, 2018By 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. Grigor Michael Harutunian, M.D.NPI 1568692101

Title

President

Phone

(818) 937-9944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Grigor Michael Harutunian, M.D.

  • Neurology Physician
  • Glendale, CA
  • NPI 1568692101
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1851737738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042503",
            "telephone_number": "818-937-9944",
            "fax_number": "888-980-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042503",
            "telephone_number": "818-937-9944",
            "fax_number": "888-980-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIGOR M. HARUTUNIAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "HARUTUNIAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-937-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A111421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katrina Quirimit Griffith
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• Lilytt Martina Grigorian, PHARMD
• Tomik Grigorian, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.