Healthcare Provider Details
I. General information
NPI: 1174834162
Provider Name (Legal Business Name): HANRIET MINASIAN-ARAKELIAN D O INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/24/2010
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3600 N VERDUGO RD STE 300
GLENDALE CA
91208-1258
US
IV. Provider business mailing address
3600 N VERDUGO RD STE 300
GLENDALE CA
91208-1258
US
V. Phone/Fax
- Phone: 818-249-1300
- Fax: 818-249-1301
- Phone: 818-249-1300
- Fax: 818-249-1301
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | 20A9021 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM2500X |
| Taxonomy | Medical Specialty Clinic/Center |
| License Number | 20A9021 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
HANRIET
MINASIAN-ARAKELIAN
Title or Position: OWNER/PRESIDENT
Credential: D.O.
Phone: 818-249-1399