Healthcare Provider Details

I. General information

NPI: 1538005145
Provider Name (Legal Business Name): BESSY MARTIROSYAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 CALEB ST
GLENDALE CA
91202-1112
US

IV. Provider business mailing address

501 W GLENOAKS BLVD
GLENDALE CA
91202-2896
US

V. Phone/Fax

Practice location:
  • Phone: 747-272-6691
  • Fax:
Mailing address:
  • Phone: 747-272-6691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BESSY MARTIROSYAN
Title or Position: CEO
Credential: MD
Phone: 747-272-6691