Healthcare Provider Details
I. General information
NPI: 1811801590
Provider Name (Legal Business Name): BAYRAMIAN MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
367 N CHEVY CHASE DR # B254
GLENDALE CA
91206-6030
US
IV. Provider business mailing address
367 N CHEVY CHASE DR # B254
GLENDALE CA
91206-6030
US
V. Phone/Fax
- Phone: 818-252-9943
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ARAM
BAYRAMIAN
Title or Position: PRESIDENT
Credential: DO
Phone: 323-880-4686