Healthcare Provider Details

I. General information

NPI: 1144138256
Provider Name (Legal Business Name): USA PAIN CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 N BRAND BLVD STE 302
GLENDALE CA
91202-2511
US

IV. Provider business mailing address

1141 N BRAND BLVD STE 302
GLENDALE CA
91202-2511
US

V. Phone/Fax

Practice location:
  • Phone: 747-229-9000
  • Fax: 833-790-2325
Mailing address:
  • Phone: 747-229-9000
  • Fax: 833-790-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GOHAR GEVORGYAN
Title or Position: CEO
Credential: MD
Phone: 323-353-8708