MEDICARE: HRIPSIME SPITAK KALANDERIAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A173021	CA

General Provider Information

NPI Number	:	1174938005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HRIPSIME SPITAK KALANDERIAN M.D.

Provider Business Mailing Address
First Line	:	6330 SAN VICENTE BLVD STE 520
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5455
Country	:	US
Telephone Number	:	310-876-2570
Fax Number	:

Provider Business Practice Location Address
First Line	:	6330 SAN VICENTE BLVD STE 520
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5455
Country	:	US
Telephone Number	:	310-876-2570
Fax Number	:	314-405-9581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	03/07/2024

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