Healthcare Provider Details

I. General information

NPI: 1275157828
Provider Name (Legal Business Name): ARGIN HARITOUNIAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 ARDEN AVE STE 340
GLENDALE CA
91203-4017
US

IV. Provider business mailing address

435 ARDEN AVE STE 340
GLENDALE CA
91203-4017
US

V. Phone/Fax

Practice location:
  • Phone: 818-319-2828
  • Fax:
Mailing address:
  • Phone: 818-696-2000
  • Fax: 818-450-0744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20008
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number20008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: