MEDICARE: NARINE KHRAYAN

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	132700000X	Dietary Manager

General Provider Information

NPI Number	:	1295682656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARINE KHRAYAN

Provider Business Mailing Address
First Line	:	5708 BUFFALO AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-4507
Country	:	US
Telephone Number	:	818-371-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 BUFFALO AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-4507
Country	:	US
Telephone Number	:	818-371-7334
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	04/06/2026

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