Healthcare Provider Details

I. General information

NPI: 1861925182
Provider Name (Legal Business Name): ARTIN MINAEIAN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1451 E CHEVY CHASE DR STE 201
GLENDALE CA
91206-4056
US

IV. Provider business mailing address

1451 E CHEVY CHASE DR STE 201
GLENDALE CA
91206-4056
US

V. Phone/Fax

Practice location:
  • Phone: 818-265-2245
  • Fax:
Mailing address:
  • Phone: 818-265-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberA135849
License Number StateCA

VIII. Authorized Official

Name: ARTIN MINAEIAN
Title or Position: NEUROLOGY DOCTOR
Credential: M.D.
Phone: 818-265-2245